Individual
CAMERIN S CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 THREE CHOPT RD RM 143, HENRICO, VA 23229-4833
(804) 269-4732
Mailing address
8100 THREE CHOPT RD RM 143, HENRICO, VA 23229-4833
(804) 269-4732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
01/25/2021
Last updated
01/25/2021
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