Individual
MR. MCCRAE PAXTON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
108 CENTRAL AVE STE 5, GOOSE CREEK, SC 29445-3079
(803) 450-6479
(843) 604-8171
Mailing address
108 CENTRAL AVE STE 5, GOOSE CREEK, SC 29445-3079
(803) 450-6479
(843) 604-8171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
9598
SC
Other
Enumeration date
09/14/2019
Last updated
02/11/2025
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