Individual
MS. KIMBERLY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPCC, LHMHC
Contact information
Practice address
5310 SEMORA RD, ROXBORO, NC 27574-8432
(218) 214-6096
(888) 374-8957
Mailing address
310 4TH AVE S, STE 5010 PMB 91823, MINNEAPOLIS, MN 55415-1053
(218) 214-6096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304598
MN
101YM0800X
Mental Health Counselor
19619
NC
101YP2500X
Professional Counselor
Primary
CC01739
MN
Other
Enumeration date
10/19/2016
Last updated
02/01/2026
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