Individual
MS. LAURA A BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSACR
Contact information
Practice address
1977 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4528
(704) 215-4095
(704) 271-1559
Mailing address
8720 AVEBURY DR APT K, CHARLOTTE, NC 28213-3164
(980) 355-2290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC-14152
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28511
NC
Other
Enumeration date
03/01/2019
Last updated
02/03/2025
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