DALLAS RAY CARROLL CDP
NPI 1225354376
Counselor - Addiction (Substance Use Disorder) in Castle Rock, WA

Active since April 14, 2010
260 FLYAWAY RD, CASTLE ROCK, WA 98611(360) 431-1929 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dallas Ray Carroll Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS RAY CARROLL CDP (NPI 1225354376) is an individual addiction (substance use disorder) provider in Castle Rock, Washington, licensed in Washington (CP60112671) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1225354376
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDALLAS RAY CARROLLCredential: CDP
Location Address260 FLYAWAY RDCastle Rock, WA 98611-9128
Mailing AddressPo Box 2562Longview, WA 98632-8607 · (360) 431-1929
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateApril 17, 2014
NPI 1225354376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60112671
260 FLYAWAY RD, Castle Rock, WA 98611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Carroll's NPI number?

The NPI number for Dallas Carroll is 1225354376. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Dallas Carroll located?

Dallas Carroll practices at 260 Flyaway Rd, Castle Rock, WA 98611. The listed phone number is (360) 431-1929.

What is Dallas Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dallas Carroll was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.