Individual
ADAM CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 N MAIN ST, BLUFFTON, IN 46714-1182
(260) 824-9000
Mailing address
PO BOX 375, BLUFFTON, IN 46714-0375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000379A
IN
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000050022
—
IN
Enumeration date
05/25/2021
Last updated
05/25/2021
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