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Prof. Michael Robert Trout, MA,MSW,LCAS,CCS
Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina
NPI 1306897244

Michael Robert Trout is an Addiction (Substance Use Disorder) Counselor based in Fayetteville, NC and is specialized in Addiction (Substance Use Disorder). Michael Robert Trout practices in Fayetteville, NC and has the professional credentials of MA,MSW,LCAS,CCS. The NPI Number for Michael Robert Trout is 1306897244 and holds a License No. (North Carolina).

The current practice location address for Michael Robert Trout is 3926 Cumberland Rd, Fayetteville, NC and can be reached out via phone at 910-748-0061.

Location: 3926 Cumberland Rd, Fayetteville, NC, 28304-2016
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Provider Profile Details
NPI Number
1306897244
Provider Name
Michael Robert Trout
Credential
MA,MSW,LCAS,CCS
Provider Entity Type
Individual
Gender
Male
Address
3926 Cumberland Rd, Fayetteville, NC, 28304-2016
Phone Number
910-748-0061
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6111996 05 NC
institution
Provider Business Practice Location Address Details
Address
3926 Cumberland Rd
City
State
Zip
28306-2687
Phone Number
910-748-0061
Fax Number
person
Provider Business Mailing Address Details
Address
3926 Cumberland Rd
City
State
Zip
28306-2687
Phone Number
910-748-0061
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1212 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1212 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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