Individual provider · Type 1 NPI

Carly R. Booth, MSW LCAS

Addiction (Substance Use Disorder) Counselor · Shallotte, NC

NPI number 1134745516 Active

Practice location

4437 Main St
Shallotte, NC 28470-4451

Call (910) 754-4449 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134745516

Carly R. Booth, MSW LCAS's National Provider Identifier is 1134745516, issued on Jun 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shallotte, NC. The record was last updated on Dec 4, 2023.