Individual provider · Type 1 NPI

Raquel Nichole Carroll

Counselor · Picayune, MS

NPI number 1104456946 Active

Practice location

2007 Wildwood Rd
Picayune, MS 39466-2178

Call (769) 926-2657 Map

Mailing address

860 E River Pl Ste 100
Jackson, MS 39202-3442

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104456946

Raquel Nichole Carroll's National Provider Identifier is 1104456946, issued on Jan 21, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Picayune, MS. The record was last updated on Jan 21, 2020.