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Lisa Carroll
Professional Counselor in Clayton, Missouri
NPI 1083083182

Lisa Carroll is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Lisa Carroll practices in Clayton, MO. The NPI Number for Lisa Carroll is 1083083182 and holds a License No. 2013011413 (Missouri).

The current practice location address for Lisa Carroll is 141 N Meramec Ave, Clayton, MO and can be reached out via phone at 773-980-6962.

Location: 141 N Meramec Ave, Clayton, MO, 63139-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083083182
Provider Name
Lisa Carroll
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 N Meramec Ave, Clayton, MO, 63139-1701
Phone Number
773-980-6962
Fax Number
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 N Meramec Ave
City
Clayton
State
Missouri
Zip
63105-3750
Phone Number
773-980-6962
Fax Number
person
Provider Business Mailing Address Details
Address
141 N Meramec Ave
City
Clayton
State
Missouri
Zip
63105-3750
Phone Number
773-980-6962
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2013011413 (Missouri)
Definition
Definition to come...
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