Individual
JOHN M CAROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
814 MADISON AVE, COVINGTON, KY 41011
(855) 591-0092
(606) 329-1530
Mailing address
3754 HERITAGE POINTE BLVD, MASON, OH 45040-7628
(606) 923-9042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
07/18/2012
Last updated
08/27/2018
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