Individual
ED L MCCRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, CCS
Contact information
Practice address
323 2ND ST NW, HICKORY, NC 28601-4904
(828) 855-9595
(828) 855-9599
Mailing address
323 2ND ST NW, HICKORY, NC 28601-4904
(828) 855-9595
(828) 855-9599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-3137563
TAX ID
NC
Enumeration date
04/24/2008
Last updated
06/27/2012
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