Individual
NATHAN KANTRELL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, NCC., P-LPC
Contact information
Practice address
2094 OLD TAYLOR RD STE 155, OXFORD, MS 38655-5019
(662) 985-1844
Mailing address
2094 OLD TAYLOR RD STE 155, OXFORD, MS 38655-5019
(662) 985-1844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P-0923
MS
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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