Organization
CHARLES W CARROLL PSYCHOTHERAPIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CARROLL LMHC (OWNER)
(508) 995-6864
Entity
Organization
Contact information
Practice address
4334 ACUSHNET AVE, NEW BEDFORD, MA 02745-4614
(508) 995-6864
Mailing address
6 WESTLAND ST, ACUSHNET, MA 02743-2686
(508) 995-6864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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