Provider Demographics
NPI:1336227461
Name:GEARING, CARRIE DAWN (LCAS, LPC)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:DAWN
Last Name:GEARING
Suffix:
Gender:F
Credentials:LCAS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 UNBRIDLED DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7564
Mailing Address - Country:US
Mailing Address - Phone:252-676-9372
Mailing Address - Fax:
Practice Address - Street 1:2008 UNBRIDLED DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7564
Practice Address - Country:US
Practice Address - Phone:252-676-9372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1113101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)