Doctor Name: | CAROL J MCCARRICK |
NPI Number: | 1851674782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9055 |
Business Practice Address: | 1010 W Hondo Ave Bldg 100 Devine, TX - 780161921 |
Business Phone Number: | 8306639786 |
Business Fax Number: | |
Mailing Address: | 158 Medical Dr, PEARSALL |
State: | TX |
Postal Code: | 780616624 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 9055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |