Individual
DAVID E CARRAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2642 MERRY OAKS TRL, WINSTON SALEM, NC 27103-6555
(336) 327-1729
Mailing address
2642 MERRY OAKS TRL, WINSTON SALEM, NC 27103-6555
(336) 327-1729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C013238
NC
1041C0700X
Clinical Social Worker
Primary
C013238
NC
1041C0700X
Clinical Social Worker
P012732
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3327939
TIN
NC
Enumeration date
08/10/2018
Last updated
05/04/2023
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