person
Lillian A Carroll, LPC
Professional Counselor in Madison, Wisconsin
NPI 1124661996

Lillian A Carroll is a Professional Counselor based in Madison, WI and is specialized in Professional. Lillian A Carroll practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Lillian A Carroll is 1124661996 and holds a License No. 4072-125 (Wisconsin).

The current practice location address for Lillian A Carroll is 1716 Fordem Ave, Madison, WI and can be reached out via phone at 608-221-3511 and via fax at 608-221-3514.

Location: 1716 Fordem Ave, Madison, WI, 53704-4604
person
Provider Profile Details
NPI Number
1124661996
Provider Name
Lillian A Carroll
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1716 Fordem Ave, Madison, WI, 53704-4604
Phone Number
608-221-3511
Fax Number
608-221-3514
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124661996 05 WI
institution
Provider Business Practice Location Address Details
Address
1716 Fordem Ave
City
State
Zip
53704-4604
Phone Number
608-221-3511
Fax Number
608-221-3514
person
Provider Business Mailing Address Details
Address
1716 Fordem Ave
City
State
Zip
53704-4604
Phone Number
608-221-3511
Fax Number
608-221-3514
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4072-125 (Wisconsin)
Definition
Definition to come...
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