MIKE DEVA JASPER

CHARLOTTE, NC
NPI1962236737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  25871)
Enumeration Date2024-08-26
Last Update Date2024-08-26
Business Address
MIKE DEVA JASPER LCAS-A
2300 SARDIS RD N STE M
CHARLOTTE, NC 28227-7712
Phone number: 704-798-4982
Mailing Address
MIKE DEVA JASPER LCAS-A
13406 TARTARIAN CT
CHARLOTTE, NC 28215-3973
Phone number: 980-704-2217