Individual
KRISTI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LPC
Contact information
Practice address
11821 STATE ROUTE 160, VINTON, OH 45686-9009
(740) 245-3051
Mailing address
11821 STATE ROUTE 160, VINTON, OH 45686-9009
(740) 245-3051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162235
OH
101YM0800X
Mental Health Counselor
Primary
E.2404007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145313
—
OH
Enumeration date
09/19/2019
Last updated
02/08/2024
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