Individual provider · Type 1 NPI
Jennifer C. Carroll, LICSW
Mental Health Counselor · Mansfield, MA
NPI number
1144404286
Active
Practice location
129 North Main St
Mansfield, MA 02048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1024944 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1144404286
Jennifer C. Carroll, LICSW's National Provider Identifier is 1144404286, issued on Dec 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, MA. The record was last updated on Dec 26, 2007.