MS. Judith Ann Carroll, RI-C0908210706
NPI #1205069796 in Clearlake, California
Provider Information
- NPI Number
- 1205069796
- Entity Type
- Individual
- Name
- MS. Judith Ann Carroll, RI-C0908210706
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- RI-C0908210706
- Enumeration Date
- Aug 31, 2009
- Last Updated
- Sep 10, 2009
Practice Location
- Address
- 6885 OLD HWY 53
- City
- Clearlake
- State
- California
- ZIP Code
- 95422
- Phone
- (707) 995-3235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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