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Individual
CARL SAMUELS
Active
Individual
CARL SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-14589
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
81-4398418
NC
Other
Enumeration date
12/01/2016
Last updated
02/26/2022
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