person
Mr. Charles Hayward Samuels JR., CSAC-21775
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1316400948

Charles Hayward Samuels JR. is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Charles Hayward Samuels JR. practices in Charlotte, NC and has the professional credentials of CSAC-21775. The NPI Number for Charles Hayward Samuels JR. is 1316400948 and holds a License No. CSAC-21775 (North Carolina).

The current practice location address for Charles Hayward Samuels JR. is 3815 N Tryon St, Charlotte, NC and can be reached out via phone at 704-372-8809 and via fax at 704-372-0350.

Location: 3815 N Tryon St, Charlotte, NC, 28206-2060
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Provider Profile Details
NPI Number
1316400948
Provider Name
Charles Hayward Samuels JR.
Credential
CSAC-21775
Provider Entity Type
Individual
Gender
Male
Address
3815 N Tryon St, Charlotte, NC, 28206-2060
Phone Number
704-372-8809
Fax Number
704-372-0350
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21286 05 NC
institution
Provider Business Practice Location Address Details
Address
3815 N Tryon St
City
State
Zip
28206-2060
Phone Number
704-372-8809
Fax Number
704-372-0350
person
Provider Business Mailing Address Details
Address
3815 N Tryon St
City
State
Zip
28206-2060
Phone Number
704-372-8809
Fax Number
704-372-0350
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSAC-21775 (North Carolina)
Definition
Definition to come...
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