Individual provider · Type 1 NPI

Charles Jason Yates, LCSW, LCAS, CCS

Addiction (Substance Use Disorder) Counselor · High Point, NC

NPI number 1962739474 Active

Practice location

102 Chestnut Dr
High Point, NC 27262-6804

Call (336) 991-1567 Map

Fax (336) 886-4160

Mailing address

111 Edgeview Rd
High Point, NC 27260-4319

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1548 (NC)
Clinical Social Worker 1041C0700XC007564 (NC)

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

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About NPI 1962739474

Charles Jason Yates, LCSW, LCAS, CCS's National Provider Identifier is 1962739474, issued on Nov 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in High Point, NC. The record was last updated on Dec 12, 2011.