Dallas Ray Carroll, CDP Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Castle Rock, WA

NPI

1225354376

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

CP60112671 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2010-04-14

Last updated

2014-04-17