Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles Hayward Samuels Jr., CSAC-21775

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316400948

Mr. Charles Hayward Samuels Jr., CSAC-21775 is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

3815 N Tryon St
Charlotte, NC 28206-2060
Phone: (704) 372-8809
Fax: (704) 372-0350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CSAC-21775 (NC)

Record details

NPI number1316400948
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC-21775
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019

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