Individual provider · Type 1 NPI
Charles Joseph Lacavera, MS, CRC, CCS, LPCS
Professional Counselor · Greenville, NC
NPI number
1073729448
Active
Practice location
401 W First St, Suite F
Greenville, NC 27834-1905
Fax (252) 695-0207
Mailing address
PO Box 8485
Greenville, NC 27835-8485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS 1021 (NC) |
| Professional Counselor | 101YP2500X | LPC 5318 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS #459 (NC) |
| Professional Counselor Primary | 101YP2500X | LPCS #5318S (NC) |
Professional Counselor: Definition to come...
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About NPI 1073729448
Charles Joseph Lacavera, MS, CRC, CCS, LPCS's National Provider Identifier is 1073729448, issued on May 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, NC. The record was last updated on Feb 26, 2012.