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Individual
MRS. PATTI MARY CARROLL
Active
Individual
MRS. PATTI MARY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. ABS. LMFTA. CDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60673720
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932216678
NPI
WA
Enumeration date
08/25/2006
Last updated
02/04/2022
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