Individual
ANNETTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6009 HOWE DR, FAIRWAY, KS 66205-3445
(913) 262-6239
(913) 262-6239
Mailing address
6009 HOWE DR, FAIRWAY, KS 66205-3445
(913) 262-6239
(913) 262-6239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6127
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
03/01/2007
Last updated
03/23/2011
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