Bridgette Jeannine Anderson
Individual provider Active NPI Counselor · Concord, NC
NPI 1013145077 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1013145077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 284 Executive Park Dr
Suite 100
Concord, NC 28025-1831 - Phone
- (704) 939-1100
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.