| Ethan Lee Beaver, MA, LCAS-A | |
|
616 Colonnade Dr, Charlotte, NC 28205-6827 | |
| (704) 273-3942 | |
| (704) 749-2305 |
| Full Name | Ethan Lee Beaver |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 616 Colonnade Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003689563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-29534 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Lee Beaver, MA, LCAS-A 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Ethan Lee Beaver, MA, LCAS-A 616 Colonnade Dr, Charlotte, NC 28205-6827 Ph: (704) 273-3942 |
Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100 | |
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624 | |
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765 | |
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085 | |
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127 | |
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301 | |
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921 |