Individual
MR. DAVID ALFRED BAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CSAC, LCAS
Contact information
Practice address
220 SWINBURNE RD, RALEIGH, NC 27610-1834
(919) 231-5545
(919) 212-7191
Mailing address
137 TORREY PINES DR, CLAYTON, NC 27527-5301
(919) 231-5545
(919) 550-9438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111830
—
NC
Enumeration date
03/13/2007
Last updated
07/09/2007
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