Individual
JAN LAIL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCMHC
Contact information
Practice address
315 WILKESBORO BLVD NE STE 1A, LENOIR, NC 28645-4498
(828) 754-6087
Mailing address
315 WILKESBORO BLVD NE STE 1A, LENOIR, NC 28645-4498
(828) 754-6087
(828) 754-1344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12039
NC
101YP2500X
Professional Counselor
A12039
NC
Other
Enumeration date
06/10/2016
Last updated
04/06/2023
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