Individual
JENNIFER M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 869-3042
(662) 869-3405
Mailing address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 869-3042
(662) 869-3405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1163
MS
Other
Enumeration date
11/20/2006
Last updated
01/22/2011
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