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Individual
DR. JONATHAN ERIC CARROLL
Active
Individual
DR. JONATHAN ERIC CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KLPC, NCPC, NCCE
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
148963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148963
STATE-ISSUED LICENSE TO PRACTICE
KY
Enumeration date
04/14/2021
Last updated
04/14/2021
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