person
Kevin Thomas Egroff, CDAC
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1164046728

Kevin Thomas Egroff is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Kevin Thomas Egroff practices in Charlotte, NC and has the professional credentials of CDAC. The NPI Number for Kevin Thomas Egroff is 1164046728 and holds a License No. (North Carolina).

The current practice location address for Kevin Thomas Egroff is 2134 Augusta St, Charlotte, NC and can be reached out via phone at 980-240-4352.

Location: 2134 Augusta St, Charlotte, NC, 28216-4603
person
Provider Profile Details
NPI Number
1164046728
Provider Name
Kevin Thomas Egroff
Credential
CDAC
Provider Entity Type
Individual
Gender
Male
Address
2134 Augusta St, Charlotte, NC, 28216-4603
Phone Number
980-240-4352
Fax Number
Provider Enumeration Date
05/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85-1217548 05 NC
85-1217548 01 NC BCBS NC
institution
Provider Business Practice Location Address Details
Address
2134 Augusta St
City
State
Zip
28216-4603
Phone Number
980-240-4352
Fax Number
person
Provider Business Mailing Address Details
Address
2134 Augusta St
City
State
Zip
28216-4603
Phone Number
980-240-4352
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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