Individual
MRS. MICHELLE MARY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
7 DOVER VILLAGE PLAZA, SUITE 2, DOVER PLAINS, NY 12522
(845) 444-2333
Mailing address
7 DOVER VILLAGE PLAZA, SUITE 2, DOVER PLAINS, NY 12522
(845) 444-2333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34985
NY
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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