Dallas Ray Carroll, CDP
NPI #1225354376 in Castle Rock, Washington
Provider Information
- NPI Number
- 1225354376
- Entity Type
- Individual
- Name
- Dallas Ray Carroll, CDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDP
- Enumeration Date
- Apr 14, 2010
- Last Updated
- Apr 17, 2014
Practice Location
- Address
- 260 FLYAWAY RD
- City
- Castle Rock
- State
- Washington
- ZIP Code
- 98611-9128
- Phone
- (360) 431-1929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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