Charles L Carr, PHD, LISAC

NPI #1750517074 in Nogales, Arizona

Provider Information

NPI Number: 1750517074
Entity Type: Individual
Name: Charles L Carr, PHD, LISAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: PHD, LISAC
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 1790 N MASTICK WAY
Address 2: SUITE D
City: Nogales
State: Arizona
ZIP Code: 85621-1135
Phone: (520) 394-4295

Specialties & Taxonomy Codes

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

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