Individual
MR. SERVIO A. CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCSP, LPC
Contact information
Practice address
108 S THURMOND ST, SHERIDAN, WY 82801-4145
(307) 752-6251
(307) 672-6251
Mailing address
511 AIRPORT RD, SHERIDAN, WY 82801-5801
(307) 672-6251
(307) 672-6251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC- NO. 12
WY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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