MEDICARE: MR. NORMAN HAROLD CARTER JR. LPC-A, LCAS-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		NC
2	101YM0800X	Mental Health Counselor		NC

General Provider Information

NPI Number	:	1619219094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NORMAN HAROLD CARTER JR. LPC-A, LCAS-A

Provider Business Mailing Address
First Line	:	5228 SUNDOWN DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-3230
Country	:	US
Telephone Number	:	910-489-1946
Fax Number	:

Provider Business Practice Location Address
First Line	:	5228 SUNDOWN DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-3230
Country	:	US
Telephone Number	:	910-489-1946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2013
Last Update Date	:	08/06/2013

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