Individual
MS. JANAE ALEXIS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10150 MALLARD CREEK RD STE 104, CHARLOTTE, NC 28262-4567
(980) 242-7090
Mailing address
6049 PINETOWN RD, OXFORD, NC 27565-7956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20641
NC
101YP2500X
Professional Counselor
A20641
NC
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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