Individual
BRANDY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 ALABAMA AVE SW, FORT PAYNE, AL 35967-1953
(256) 979-1777
Mailing address
204 ALABAMA AVE SW, FORT PAYNE, AL 35967-1953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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