Individual provider · Type 1 NPI

Charlie Randolph Taylor Jr., MA, LCASA

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1619416906 Active

Practice location

517 Clanton Road
Charlotte, NC 28217

Call (704) 332-9001 Map

Mailing address

515 Clanton Rd
Charlotte, NC 28217-1309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22826 (NC)

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

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About NPI 1619416906

Charlie Randolph Taylor Jr., MA, LCASA's National Provider Identifier is 1619416906, issued on Feb 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Feb 20, 2017.