Individual
JACQUELINE ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 WARREN ST APT 357, JERSEY CITY, NJ 07302-7201
(551) 655-0006
(201) 567-9335
Mailing address
444 WARREN ST APT 357, JERSEY CITY, NJ 07302-7201
(551) 655-0006
(201) 567-9335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
37FA00015600
NJ
Other
Enumeration date
06/05/2018
Last updated
07/11/2024
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