Individual
CARL SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
4310 ALDERNY PL, HIGH POINT, NC 27265-9277
(336) 303-9020
Mailing address
4310 ALDERNY PL, HIGH POINT, NC 27265-9277
(336) 303-9020
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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