Dallas Ray Carroll, CDP
Counselor, Addiction (Substance Use Disorder) in Castle Rock, WA. Individual provider (NPI-1).
NPI number1225354376
StatusActive
Last updated in NPPESApr 17, 2014
Details
- NPI
- 1225354376
- Entity type
- Individual (NPI-1)
- Name
- Dallas Ray Carroll
- Credential
- CDP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2010
- Last updated
- Apr 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60112671 | WA | Yes |
Practice location
260 Flyaway RdCastle Rock, WA 98611-9128
Phone 360-431-1929
Mailing address
Po Box 2562Longview, WA 98632-8607
Phone 360-431-1929
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Castle Rock, WA
- Melinda ConnNPI 1295113751
- Amber Delagrange, SUDPNPI 1295113744
- Tonya DoroughNPI 1730547555
- Bozena Drabik, SUDPNPI 1013395094
- Terry Lynn HollowayNPI 1851934343
- Lynda Jean McLaughlin, CDPTNPI 1528437324
- Jennifer Sanchez, SUDPNPI 1194500249
- Heather Kristine Temple, CDPNPI 1659843704
All 9 Addiction (Substance Use Disorder) Counselor providers in Castle Rock · All 62 providers in Castle Rock
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