# LYNN RAE CARROLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124198270
- **Gender:** F
- **Credential:** LCPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | LMHC - 0097841 | NM | — |
| 101YM0800X | Mental Health Counselor | CC3486 | ME | Yes |
| 104100000X | Social Worker | LS3891 | ME | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 01/24/2012
