Individual
JAYME ANN MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2411 S ILLINOIS AVE, CARBONDALE, IL 62903-5913
(618) 615-9754
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/11/2012
Last updated
02/03/2021
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