Provider Demographics
NPI:1962411223
Name:CARLIN, RAWSON A (LPC, LCAS, NCC, MAC)
Entity type:Individual
Prefix:MR
First Name:RAWSON
Middle Name:A
Last Name:CARLIN
Suffix:
Gender:M
Credentials:LPC, LCAS, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S BROAD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3500
Mailing Address - Country:US
Mailing Address - Phone:704-883-6599
Mailing Address - Fax:877-306-6173
Practice Address - Street 1:207 S BROAD ST STE 6
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-3500
Practice Address - Country:US
Practice Address - Phone:704-883-6599
Practice Address - Fax:877-306-6173
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC 5278101YM0800X
NCLCAS 1086101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health