Individual
DONNA R. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1010 REMINGTON PLZ, RAYMORE, MO 64083-8640
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00889
MO
163W00000X
Registered Nurse
2005025571
MO
Other
Enumeration date
04/05/2019
Last updated
09/26/2019
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