Doctor Name: | ALYSSA J. CARLIN |
NPI Number: | 1780973339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A8397 |
Business Practice Address: | 5841 Hwy. 421 S. Buies Creek, NC - 275060457 |
Business Phone Number: | 9108935727 |
Business Fax Number: | |
Mailing Address: | 284 Executive Park Dr., Suite 100 CONCORD |
State: | NC |
Postal Code: | 280251894 |
Phone Number: | 7049391118 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A8397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |