Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 0718000223 | VA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1009 | NC |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LCA394 | MD |
NPI | 1558533976 |
---|---|
Provider Name | Dr. Charmaine Beatrice Harrington |
First Address | Falls Church, VA 22044-3139 |
Second Address | Raeford, NC 28376-5654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 26/11/2008 |