Individual
MR. MICHAEL EDWARD CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
88 GRANDVIEW AVE, CHILDREN/ADOL, WATERBURY, CT 06708-2509
(203) 573-7121
(203) 573-7303
Mailing address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7121
(203) 573-7303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000987
CT
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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