Individual provider · Type 1 NPI
Kimberly Carroll, LADC, LPCC, LHMHC
Professional Counselor · Roxboro, NC
NPI number
1225589765
Active
Practice location
5310 Semora Rd
Roxboro, NC 27574-8432
Fax (888) 374-8957
Mailing address
310 4th Ave S, Ste 5010 Pmb 91823
Minneapolis, MN 55415-1053
Other practice locations
- 310 4th Ave S, Ste 5010 Pmb 91823, Minneapolis, MN 55415-1053 · (218) 214-6096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 19619 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304598 (MN) |
| Professional Counselor Primary | 101YP2500X | CC01739 (MN) |
Professional Counselor: Definition to come...
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- William R. Boone, MA, LPCProfessional Counselor Roxboro, NC NPI 1669699351
- Kathleen OconnellProfessional Counselor Roxboro, NC NPI 1710365192
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About NPI 1225589765
Kimberly Carroll, LADC, LPCC, LHMHC's National Provider Identifier is 1225589765, issued on Oct 19, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roxboro, NC. The record was last updated on Feb 1, 2026.