Individual
ASHLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8376 HERCULES ST, LA MESA, CA 91942-2902
(619) 667-6891
Mailing address
8376 HERCULES ST, LA MESA, CA 91942-2902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
102338
CA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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