Individual provider · Type 1 NPI
Carlson Andrews Theodore, LCMHC
Mental Health Counselor · Rougemont, NC
NPI number
1699097063
Active
Practice location
96 Elderberry Ln
Rougemont, NC 27572-9275
Other practice locations
- 100 Loop St, Clinton, NC 28328-4062 · (910) 596-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7744 (NC) |
Mental Health Counselor: Definition to come...
About NPI 1699097063
Carlson Andrews Theodore, LCMHC's National Provider Identifier is 1699097063, issued on Feb 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rougemont, NC. The record was last updated on May 22, 2023.