Individual provider · Type 1 NPI

Mary Theodora Carroll, PhD

Mental Health Counselor · Sarasota, FL

NPI number 1962565697 Active

Practice location

405 Julia Pl, Sarasota
Sarasota, FL 34236-6915

Call (941) 412-3947 Map

Fax (941) 412-3957

Mailing address

173 Venice Palms Blvd
Venice, FL 34292-2447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH0002776 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1962565697

Mary Theodora Carroll, PhD's National Provider Identifier is 1962565697, issued on Dec 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sarasota, FL. The record was last updated on Jul 8, 2007.