Individual
HOLLY LANETTE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
420 NORTH 2ND AVE, PMB #2, SUITE 102, SANDPOINT, ID 83864
(208) 627-9849
(208) 719-7951
Mailing address
420 NORTH 2ND AVE, PMB #2, SUITE 102, SANDPOINT, ID 83864
(208) 627-9849
(208) 719-7951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33168
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-44620
ID
Other
Enumeration date
05/28/2014
Last updated
02/23/2026
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