Individual
ROBYN T CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2921 E JEFFERSON AVE, DETROIT, MI 48207-4267
(313) 282-5916
Mailing address
1923 PEMBRIDGE PL, DETROIT, MI 48207-3815
(313) 282-5916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016929
MI
101YP2500X
Professional Counselor
6401016929
MI
106H00000X
Marriage & Family Therapist
6401016929
MI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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