Individual
CARRIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
160 NW CENTRAL PARK PLZ, SUITE 108, PORT ST LUCIE, FL 34986-1825
(561) 286-2334
Mailing address
160 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-1825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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