Individual
DR. JONATHAN ERIC CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KLPC, NCPC, NCCE
Contact information
Practice address
318 SAINT ELIZABETH ST, OWENSBORO, KY 42301-0729
(270) 925-4922
Mailing address
318 SAINT ELIZABETH ST, OWENSBORO, KY 42301-0729
(270) 925-4922
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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