Individual
MR. HOWARD L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
111 LILLIAN ST, SUITE 101, SALMON, ID 83467
(208) 756-2970
(208) 756-3018
Mailing address
111 LILLIAN ST, SUITE 101, SALMON, ID 83467
(208) 756-2970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC13
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10016250
REGENCE BLUE SHIELD
ID
01
—
27320
BLUE CROSS OF IDAHO
ID
Enumeration date
07/14/2006
Last updated
07/08/2007
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