| Dallas Ray Carroll, CDP | |
|
260 Flyaway Rd, Castle Rock, WA 98611-9128 | |
| (360) 431-1929 | |
| Not Available |
| Full Name | Dallas Ray Carroll |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 260 Flyaway Rd, Castle Rock, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225354376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60112671 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Ray Carroll, CDP Po Box 2562, Longview, WA 98632-8607 Ph: (360) 431-1929 | Dallas Ray Carroll, CDP 260 Flyaway Rd, Castle Rock, WA 98611-9128 Ph: (360) 431-1929 |
Bozena Drabik, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2232 S Silver Lake Rd, Castle Rock, WA 98611 Phone: 360-274-3262 Fax: 360-274-3345 | |
Jennifer M Cooney, MS, CC, RBT, CBT Counselor Medicare: Not Enrolled in Medicare Practice Location: 498 Leckler Creek Rd, Castle Rock, WA 98611 Phone: 360-430-1594 | |
Jennifer Sanchez, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2232 S Silver Lake Rd, Castle Rock, WA 98611 Phone: 360-274-3262 Fax: 360-274-3345 | |
Amber Delagrange, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2232 S Silver Lake Rd, Castle Rock, WA 98611 Phone: 360-274-3262 Fax: 360-274-3345 | |
Melinda Conn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2232 S Silver Lake Rd, Castle Rock, WA 98611 Phone: 360-274-3262 | |
Miss Lynda Jean Mclaughlin, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2232 S Silver Lake Rd, Castle Rock, WA 98611 Phone: 360-274-3262 Fax: 360-274-3345 |