Individual
JILL C CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
(405) 222-0622
(405) 224-9532
Mailing address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7809
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/04/2017
Last updated
02/24/2021
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