Individual
ANDREW BRANTLEY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
435 CLARK RD, JACKSONVILLE, FL 32218-5596
(904) 765-0665
Mailing address
1972 WAGES WAY S, JACKSONVILLE, FL 32218-8062
(904) 400-1080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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