Individual
ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1901 S 4TH ST STE 213, EFFINGHAM, IL 62401-4188
(217) 347-5880
Mailing address
2211 LAKE HILLS DR, VANDALIA, IL 62471-3922
(618) 792-5921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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