Individual
DR. THEODORE L CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC, NCC
Contact information
Practice address
603 KNIGHT ST STE D, RICHLAND, WA 99352-3800
(509) 870-7853
(509) 943-2129
Mailing address
603 KNIGHT ST STE D, RICHLAND, WA 99352-3800
(509) 870-7853
(509) 943-2129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH61050462
WA
106H00000X
Marriage & Family Therapist
Primary
MG60947452
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH61050462
LICENSING CREDENTIALS
WA
01
—
MG60947452
LICENSING CREDENTIALS
WA
Enumeration date
04/15/2020
Last updated
11/16/2023
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