person
Mr. Timothy Martin Carroll, CAS
Addiction (Substance Use Disorder) Counselor in Satellite Beach, Florida
NPI 1285965616

Timothy Martin Carroll is an Addiction (Substance Use Disorder) Counselor based in Satellite Beach, FL and is specialized in Addiction (Substance Use Disorder). Timothy Martin Carroll practices in Satellite Beach, FL and has the professional credentials of CAS. The NPI Number for Timothy Martin Carroll is 1285965616 and holds a License No. 1205A (Florida).

The current practice location address for Timothy Martin Carroll is 1127 S Patrick Dr, Satellite Beach, FL and can be reached out via phone at 321-773-1111 and via fax at 321-773-1692.

Location: 1127 S Patrick Dr, Satellite Beach, FL, 32937-3939
person
Provider Profile Details
NPI Number
1285965616
Provider Name
Timothy Martin Carroll
Credential
CAS
Provider Entity Type
Individual
Gender
Male
Address
1127 S Patrick Dr, Satellite Beach, FL, 32937-3939
Phone Number
321-773-1111
Fax Number
321-773-1692
Provider Enumeration Date
01/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1127 S Patrick Dr
City
State
Zip
32937-3939
Phone Number
321-773-1111
Fax Number
321-773-1692
person
Provider Business Mailing Address Details
Address
1127 S Patrick Dr
City
State
Zip
32937-3939
Phone Number
321-773-1111
Fax Number
321-773-1692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1205A (Florida)
Definition
Definition to come...
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