Kevin Thomas Egroff, CDAC
Counselor, Addiction (Substance Use Disorder) in Charlotte, NC. Individual provider (NPI-1).
NPI number1164046728
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1164046728
- Entity type
- Individual (NPI-1)
- Name
- Kevin Thomas Egroff
- Credential
- CDAC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2020
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2134 Augusta StCharlotte, NC 28216-4603
Phone 980-240-4352
Mailing address
2134 Augusta StCharlotte, NC 28216-4603
Phone 980-240-4352
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