Individual
DARRYL X MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
3581 LACKEY ST, LUMBERTON, NC 28360-9048
(910) 738-1587
(910) 738-1581
Mailing address
PO BOX 1004, LUMBERTON, NC 28359-1004
(910) 738-1587
(910) 738-1581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-1610
NC
1041C0700X
Clinical Social Worker
Primary
C00269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55400
BCBS NC
NC
05
—
6002598
—
NC
05
—
6002928
—
NC
Enumeration date
10/16/2007
Last updated
06/23/2021
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