Individual
LYNNETTE MICHELLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC,MSW,CCDC
Contact information
Practice address
214 DICK ST, B-2, FAYETTEVILLE, NC 28301-5750
(910) 433-5633
(910) 433-2234
Mailing address
214 DICK ST, B-2, FAYETTEVILLE, NC 28301-5750
(910) 433-5633
(910) 433-2234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4181
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
F19696
NC
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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