person
Ms. Judith Ann Carroll, RI-C0908210706
Addiction (Substance Use Disorder) Counselor in Clearlake, California
NPI 1205069796

Judith Ann Carroll is an Addiction (Substance Use Disorder) Counselor based in Clearlake, CA and is specialized in Addiction (Substance Use Disorder). Judith Ann Carroll practices in Clearlake, CA and has the professional credentials of RI-C0908210706. The NPI Number for Judith Ann Carroll is 1205069796 and holds a License No. RI-C0908210706 (California).

The current practice location address for Judith Ann Carroll is 6885 Old Hwy 53, Clearlake, CA and can be reached out via phone at 707-995-3235.

Location: 6885 Old Hwy 53, Clearlake, CA, 95422
person
Provider Profile Details
NPI Number
1205069796
Provider Name
Judith Ann Carroll
Credential
RI-C0908210706
Provider Entity Type
Individual
Gender
Female
Address
6885 Old Hwy 53, Clearlake, CA, 95422
Phone Number
707-995-3235
Fax Number
Provider Enumeration Date
08/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RI-C0908210706 01 CA SUBSTANCE ABUSE DISORDER
institution
Provider Business Practice Location Address Details
Address
6885 Old Hwy 53
City
State
Zip
95422
Phone Number
707-995-3235
Fax Number
person
Provider Business Mailing Address Details
Address
6885 Old Hwy 53
City
State
Zip
95422
Phone Number
707-995-3235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RI-C0908210706 (California)
Definition
Definition to come...
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