Individual
DENNIS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
11134 LUSCHEK DR, BLUE ASH, OH 45241-2434
(513) 827-9273
Mailing address
11134 LUSCHEK DR, BLUE ASH, OH 45241-2434
(513) 827-9273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
975844
OH
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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