Individual provider · Type 1 NPI

Mike Deva Jasper, LCAS-A

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1962236737 Active

Practice location

2300 Sardis Rd N Ste M
Charlotte, NC 28227-7712

Mailing address

13406 Tartarian Ct
Charlotte, NC 28215-3973

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25871 (NC)

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

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About NPI 1962236737

Mike Deva Jasper, LCAS-A's National Provider Identifier is 1962236737, issued on Aug 26, 2024. 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 Aug 26, 2024.