Individual
CARL CROOMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, STE 110, CHARLOTTE, NC 28277-3174
(704) 446-0391
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22597
NC
Other
Enumeration date
05/19/2022
Last updated
07/17/2024
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