Individual provider · Type 1 NPI

Andrew Brantley Carroll, MS

Mental Health Counselor · Jacksonville, FL

NPI number 1609387455 Active

Practice location

435 Clark Rd
Jacksonville, FL 32218-5596

Mailing address

1972 Wages Way S
Jacksonville, FL 32218-8062

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1609387455

Andrew Brantley Carroll, MS's National Provider Identifier is 1609387455, issued on Oct 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 19, 2017.