Individual
CLARISSA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 RACHEL FREEMAN WAY, CHARLOTTE, NC 28278-9510
(704) 316-2322
(704) 316-1682
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-2322
(704) 316-1682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20001
NC
101YM0800X
Mental Health Counselor
Primary
7924
NC
101YP2500X
Professional Counselor
7924
NC
Other
Enumeration date
06/18/2010
Last updated
06/11/2021
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