Individual
MR. CARL JOHN ASICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.C.
Contact information
Practice address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 273-8000
(717) 273-8244
Mailing address
3030 CHESTNUT ST, LEBANON, PA 17024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
PA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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