Provider Demographics
NPI:1588091987
Name:FINN, DAVID CARROLL (LCAS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CARROLL
Last Name:FINN
Suffix:
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 VILLAGE GREEN CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-3208
Mailing Address - Country:US
Mailing Address - Phone:207-841-6252
Mailing Address - Fax:
Practice Address - Street 1:21 VILLAGE GREEN CIR
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-3208
Practice Address - Country:US
Practice Address - Phone:207-841-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC619101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)