Individual
KACIE D CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7217 CAMERON PARK DR, FORT SMITH, AR 72903-6167
(479) 831-6007
(479) 782-1242
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
(479) 452-5040
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2207005
AR
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/06/2012
Last updated
02/19/2025
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