Individual
ADAM MICHAEL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW-A, LCAS-A
Contact information
Practice address
4054 S MEMORIAL DR STE K, WINTERVILLE, NC 28590-8690
(252) 561-8112
(252) 561-7455
Mailing address
231 COMMERCE ST, GREENVILLE, NC 27858-5029
(252) 321-8080
(252) 321-7999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25691
NC
1041C0700X
Clinical Social Worker
Primary
C014117
NC
Other
Enumeration date
08/02/2019
Last updated
10/22/2021
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