Individual provider · Type 1 NPI

Kevin Carroll, LCDCIII.162863

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1194235903 Active

Practice location

547 E 11th Ave
Columbus, OH 43211-2603

Fax (614) 291-0118

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA976115 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162863 (OH)

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About NPI 1194235903

Kevin Carroll, LCDCIII.162863's National Provider Identifier is 1194235903, issued on Oct 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Jul 24, 2025.