Individual
MS. ANNA NADINE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(024) 566-2005
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(024) 566-2005
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
126666
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C93-031-975
STATE DRIVER'S LICENSE
KY
Enumeration date
01/18/2023
Last updated
03/30/2023
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