Provider Demographics
NPI:1578589248
Name:DARRAH, CATHERINE J (BA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:DARRAH
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:COVINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 ALBERTA ST
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-4918
Mailing Address - Country:US
Mailing Address - Phone:843-448-5503
Mailing Address - Fax:
Practice Address - Street 1:164 WACCAMAW MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8903
Practice Address - Country:US
Practice Address - Phone:843-347-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor