Individual provider · Type 1 NPI
Dallas Ray Carroll, CDP
Addiction (Substance Use Disorder) Counselor · Castle Rock, WA
NPI number
1225354376
Active
Practice location
260 Flyaway Rd
Castle Rock, WA 98611-9128
Mailing address
PO Box 2562
Longview, WA 98632-8607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60112671 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225354376
Dallas Ray Carroll, CDP's National Provider Identifier is 1225354376, issued on Apr 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Castle Rock, WA. The record was last updated on Apr 17, 2014.