Devan James Carroll, LCAS-A
NPI #1174130686 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1174130686
- Entity Type
- Individual
- Name
- Devan James Carroll, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Sep 29, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 108 SYCAMORE DR
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-4586
- Phone
- (910) 322-0845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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