Individual provider · Type 1 NPI
Judith Ann Carroll, RI-C0908210706
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1205069796
Active
Practice location
6885 Old Hwy 53
Clearlake, CA 95422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RI-C0908210706 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Francian Leann Reinhardt, RASIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1073761318
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- Janet M. Edmonds, COUNSELOR CAS, RASAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1174968978
- Carol Louine Mansfield, RIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1205962669
About NPI 1205069796
Judith Ann Carroll, RI-C0908210706's National Provider Identifier is 1205069796, issued on Aug 31, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Sep 10, 2009.