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NPI Code Detail

MEDICARE: ANTHONY TC REDFEARN LMFT/LPC/LCAS

MEDICARE:   ANTHONY TC REDFEARN  LMFT/LPC/LCAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist2472NC
2101YM0800XMental Health Counselor9307NC
3101YA0400XAddiction (Substance Use Disorder) Counselor2685NC
4101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1518303833
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY TC REDFEARN LMFT/LPC/LCAS
Provider Business Mailing Address
First Line : 2718 PHILLIPS AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7030
Country : US
Telephone Number : 704-492-2436
Fax Number : 704-303-9457
Provider Business Practice Location Address
First Line : 2718 PHILLIPS AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7030
Country : US
Telephone Number : 704-492-2436
Fax Number : 704-303-9457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2013
Last Update Date : 02/17/2026

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