Individual
PROF. MICHAEL ROBERT TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, LCAS, CCS
Contact information
Practice address
3926 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2687
(910) 748-0061
Mailing address
5623 LAWNWOOD DR, FAYETTEVILLE, NC 28304-2016
(910) 426-5299
(910) 424-3078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1212
NC
101YM0800X
Mental Health Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111996
—
NC
Enumeration date
05/15/2006
Last updated
08/18/2022
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