Laura A Beaver, CSACR
Counselor, Addiction (Substance Use Disorder) in Charlotte, NC. Individual provider (NPI-1).
NPI number1760949366
StatusActive
Last updated in NPPESFeb 3, 2025
Details
- NPI
- 1760949366
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laura A Beaver
- Credential
- CSACR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2019
- Certification date
- Feb 3, 2025
- Last updated
- Feb 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-28511 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CSAC-14152 | NC |
Practice location
1977 J N Pease Pl Ste 104Charlotte, NC 28262-4528
Phone 704-215-4095 · Fax 704-271-1559
Mailing address
8720 Avebury Dr Apt KCharlotte, NC 28213-3164
Phone 980-355-2290
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