MR. Antoine J Charles, LCAS

NPI #1568941326 in Lewisville, North Carolina

Provider Information

NPI Number: 1568941326
Entity Type: Individual
Name: MR. Antoine J Charles, LCAS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCAS
Enumeration Date: Aug 11, 2018
Last Updated: Aug 11, 2018

Practice Location

Address: 6614 SHALLOWFORD RD STE 250
City: Lewisville
State: North Carolina
ZIP Code: 27023-9305
Phone: (336) 945-0137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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DR. Shawn Arango Ricks, PH.D.,LCAS-A	Counselor - Addiction (Substance Use Disorder)	Lewisville	AI Deep Dive
Kervins Clement, LCMHCAS	Counselor - Addiction (Substance Use Disorder)	Lewisville	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Into the Wild, Inc.	Counselor - Addiction (Substance Use Disorder)	Lewisville	AI Deep Dive
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