Krystal Anderson, LCSWA
Social Worker, Clinical in Jacksonville, NC. Individual provider (NPI-1).
NPI number1356897656
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1356897656
- Entity type
- Individual (NPI-1)
- Name
- Krystal Anderson
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P009218 | NC | Yes |
Practice location
110-B Branchwood DriveJacksonville, NC 28546
Phone 910-938-9833
Mailing address
800 Talon CirApt. 1e
Jacksonville, NC 28546-7167
Phone 910-938-9833
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