Provider Demographics
NPI:1982447959
Name:ANDERSON, CAROLINE REMBRETT
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:REMBRETT
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 SHUCKER CIR APT 320
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4977
Mailing Address - Country:US
Mailing Address - Phone:843-421-5509
Mailing Address - Fax:
Practice Address - Street 1:1421 SHUCKER CIR APT 320
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4977
Practice Address - Country:US
Practice Address - Phone:843-421-5509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health