Individual
JACQUELINE CAMPBELL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TTS, NBC-HWC
Contact information
Practice address
6027 RIVA RIDGE RD, VERSAILLES, KY 40383-9195
(859) 433-2816
Mailing address
6027 RIVA RIDGE RD, VERSAILLES, KY 40383-9195
(859) 433-2816
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
589203147
KY
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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