Individual
BRIAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 VANTAGE POINT DR, ZIRCONIA, NC 28790-8832
(407) 929-4576
Mailing address
160 VANTAGE POINT DR, ZIRCONIA, NC 28790-8832
(407) 929-4576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14546
NC
101YP2500X
Professional Counselor
Primary
A14546
NC
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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