Individual
CHARLES L CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LISAC
Contact information
Practice address
1790 N MASTICK WAY, SUITE D, NOGALES, AZ 85621-1135
(520) 394-4295
Mailing address
1790 N MASTICK WAY, SUITE D, NOGALES, AZ 85621-1135
(520) 394-4295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11766
ARIZONA BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
06/01/2009
Last updated
06/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us