Individual
JADA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KALISA WAY, PARAMUS, NJ 07652-3516
(800) 736-3739
Mailing address
1 KALISA WAY, PARAMUS, NJ 07652-3516
(800) 736-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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