Individual provider · Type 1 NPI

Raechal Dawn Carroll

Counselor · Rockford, IL

NPI number 1407336829 Active

Practice location

2704 N Main St
Rockford, IL 61103-3112

Call (815) 968-9300 Map

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

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 1407336829

Raechal Dawn Carroll's National Provider Identifier is 1407336829, issued on Aug 15, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 15, 2018.