Individual provider · Type 1 NPI

Michael Robert Trout, MA, MSW, LCAS, CCS

Addiction (Substance Use Disorder) Counselor · Fayetteville, NC

NPI number 1306897244 Active

Practice location

3926 Cumberland Rd
Fayetteville, NC 28306-2687

Mailing address

5623 Lawnwood Dr
Fayetteville, NC 28304-2016

Other practice locations

  • 5623 Lawnwood Dr, Fayetteville, NC 28304-2016 · (910) 426-5299

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X1212 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1212 (NC)

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

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About NPI 1306897244

Michael Robert Trout, MA, MSW, LCAS, CCS's National Provider Identifier is 1306897244, issued on May 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 18, 2022.