Individual
MR. JOHN EDWIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCS
Contact information
Practice address
1425 S GLENBURNIE RD STE 5, NEW BERN, NC 28562-2610
(252) 675-3620
(252) 633-1005
Mailing address
233 SHORELINE DR, NEW BERN, NC 28562-9557
(252) 633-1770
(252) 633-1005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3874
NC
101YM0800X
Mental Health Counselor
Primary
S3874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139X5
BC
NC
05
—
6102827
—
NC
Enumeration date
05/01/2006
Last updated
06/23/2021
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