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Individual
MR. JOHN EDWIN CARROLL
Active
Individual
MR. JOHN EDWIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3874
NC
101YM0800X
Mental Health Counselor
Primary
S3874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139X5
BC
NC
05
—
6102827
—
NC
Enumeration date
05/01/2006
Last updated
06/23/2021
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