Individual provider · Type 1 NPI

Jessica Rae Carroll, LCPC

Professional Counselor · Lanham, MD

NPI number 1689201790 Active

Practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

906 White Way
Laurel, MD 20707-3844

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP10314 (MD)

Professional Counselor: Definition to come...

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About NPI 1689201790

Jessica Rae Carroll, LCPC's National Provider Identifier is 1689201790, issued on Mar 26, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lanham, MD. The record was last updated on Jul 30, 2022.