Individual
JESSICA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5755 N POINT PKWY STE 51, ALPHARETTA, GA 30022-1145
(678) 709-3999
Mailing address
3462 LORI LN, ATLANTA, GA 30340-4136
(678) 709-3999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC012575
GA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/08/2022
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