NPI | 1679123384 |
---|---|
Professional Name | MCCRAE CARROLL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9598) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-09-14 |
Last Update Date | 2025-02-11 |