Individual
LORRAINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
101 CARPENTER PL, MONROE, NY 10950-3515
(845) 782-0295
(845) 782-5164
Mailing address
101 CARPENTER PL, MONROE, NY 10950-3515
(845) 782-0295
(845) 782-5164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25708
NY
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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