Individual
SCOTT CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 836-3446
(520) 836-3446
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC10506
AZ
101YP2500X
Professional Counselor
Primary
LPC11587
AZ
Other
Enumeration date
04/12/2007
Last updated
07/25/2023
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