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Miss Raquel Nichole Carroll
Counselor in Picayune, Mississippi
NPI 1104456946

Raquel Nichole Carroll is a Counselor based in Jackson, MS. Raquel Nichole Carroll practices in Picayune, MS. The NPI Number for Raquel Nichole Carroll is 1104456946 and holds a License No. (Mississippi).

The current practice location address for Raquel Nichole Carroll is 2007 Wildwood Rd, Picayune, MS and can be reached out via phone at 769-926-2657. You can also correspond with Raquel Nichole Carroll through the mailing address at 860 E RIVER PL STE 100, JACKSON, MS - 39202-3442 (mailing address contact number: ).

Location: 2007 Wildwood Rd, Picayune, MS, 39202-3442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104456946
Provider Name
Raquel Nichole Carroll
Credential
Provider Entity Type
Individual
Gender
Female
Address
2007 Wildwood Rd, Picayune, MS, 39202-3442
Phone Number
769-926-2657
Fax Number
Provider Enumeration Date
01/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2007 Wildwood Rd
City
Picayune
State
Mississippi
Zip
39466-2178
Phone Number
769-926-2657
Fax Number
person
Provider Business Mailing Address Details
Address
2007 Wildwood Rd
City
Picayune
State
Mississippi
Zip
39466-2178
Phone Number
769-926-2657
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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