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Individual
MR. HOWARD L CARROLL
Active
Individual
MR. HOWARD L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC13
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10016250
REGENCE BLUE SHIELD
ID
01
—
27320
BLUE CROSS OF IDAHO
ID
Enumeration date
07/14/2006
Last updated
07/08/2007
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