Individual provider · Type 1 NPI

Jennifer Ann Carroll, LMFT

Mental Health Counselor · Fullerton, CA

NPI number 1982169280 Active

Practice location

2246 N. State College Blvd
Fullerton, CA 92831

Call (714) 681-2977 Map

Mailing address

PO Box 5591
Fullerton, CA 92838-0591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X110311 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1982169280

Jennifer Ann Carroll, LMFT's National Provider Identifier is 1982169280, issued on Jan 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Jan 31, 2019.