Individual provider · Type 1 NPI

Lisa Carroll

Professional Counselor · Clayton, MO

NPI number 1083083182 Active

Practice location

141 N Meramec Ave, Suite 109
Clayton, MO 63105-3750

Call (773) 980-6962 Map

Mailing address

5533 Connecticut St, Suite 109
St. Louis, MO 63139-1701

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2013011413 (MO)

Professional Counselor: Definition to come...

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About NPI 1083083182

Lisa Carroll's National Provider Identifier is 1083083182, issued on Sep 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clayton, MO. The record was last updated on Sep 18, 2015.