Individual
MR. CARROLL THOMAS MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-INTERN
Contact information
Practice address
200 W MARSHALL ST, PITTSBURG, TX 75686-1348
(903) 856-6001
(903) 856-0465
Mailing address
PO BOX 274, COOKVILLE, TX 75558-0274
(903) 856-6001
(903) 856-0465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62429
TX
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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