Individual
MOLLY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
(541) 390-7941
Mailing address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3270
OR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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