Anderson, James T

Anderson, James T is an sole proprietor health care provider with primary practice located at 45 N Country Club Rd , Brevard NC 28712-8908. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, James T can be contacted via phone (828) 883-9676.

Contact Information

Primary practice address
45 N Country Club Rd Brevard NC 28712-8908
Phone: (828) 883-9676
Fax: (828) 884-9753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001328 North Carolina

Profile Details

NPI number 1083667240
LBN Legal business name Anderson, James T
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Feb 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083667240 NPPES
North Carolina MEDICAID 6002848

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