Individual
MR. CHARLES JOSEPH LACAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CRC, CCS, LPCS
Contact information
Practice address
401 W FIRST ST, SUITE F, GREENVILLE, NC 27834-1905
(252) 327-1014
(252) 695-0207
Mailing address
PO BOX 8485, GREENVILLE, NC 27835-8485
(252) 327-1014
(252) 695-0207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS #459
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS 1021
NC
101YP2500X
Professional Counselor
LPC 5318
NC
101YP2500X
Professional Counselor
Primary
LPCS #5318S
NC
Other
Enumeration date
05/15/2007
Last updated
02/26/2012
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