Individual
MR. DAVID ELLIS CARR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-6576
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-6576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WA
Enumeration date
10/05/2018
Last updated
01/18/2019
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