Individual
MISS AMY RENEE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
1320 CORUM AVE, EUGENE, OR 97401-1702
(541) 554-8922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
05/04/2017
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