Individual
MR. JAMES CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 N 23RD ST, COEUR D ALENE, ID 83814-5411
(208) 664-3300
(208) 667-3154
Mailing address
218 N 23RD STREET, COEUR D' ALENE, ID 83814
(208) 664-3300
(208) 667-3154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
JC22712
OR
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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