Individual provider · Type 1 NPI
Charmaine Sophia-Samara Ford, LCAS-A
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1821330390
Active
Practice location
2106 Ayrsley Town Blvd Unit B
Charlotte, NC 28273-4217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3164-A (NC) |
| Social Worker | 104100000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821330390
Charmaine Sophia-Samara Ford, LCAS-A's National Provider Identifier is 1821330390, issued on Mar 22, 2013. 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 Mar 22, 2013.