Individual
KATHLEEN MARIE CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Mailing address
4134 GARST MILL RD, ROANOKE, VA 24018-6205
(540) 772-7790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001311
VA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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