person
Marianne Roberts Carroll, MALADC
Addiction (Substance Use Disorder) Counselor in North Windham, Connecticut
NPI 1417056060

Marianne Roberts Carroll is an Addiction (Substance Use Disorder) Counselor based in North Windham, CT and is specialized in Addiction (Substance Use Disorder). Marianne Roberts Carroll practices in North Windham, CT and has the professional credentials of MALADC. The NPI Number for Marianne Roberts Carroll is 1417056060 and holds a License No. 000055 (Connecticut).

The current practice location address for Marianne Roberts Carroll is 387 Tuckie Rd, North Windham, CT and can be reached out via phone at 860-423-4279 and via fax at 860-423-4284.

Location: 387 Tuckie Rd, North Windham, CT, 06256-1355
person
Provider Profile Details
NPI Number
1417056060
Provider Name
Marianne Roberts Carroll
Credential
MALADC
Provider Entity Type
Individual
Gender
Female
Address
387 Tuckie Rd, North Windham, CT, 06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004255007 05 CT
199589 01 CT MHN
P2633664 01 OXFORD
165927 01 VALUE OPTIONS
300000055CT01 01 CT ANTHEM
institution
Provider Business Practice Location Address Details
Address
387 Tuckie Rd
City
State
Zip
06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284
person
Provider Business Mailing Address Details
Address
387 Tuckie Rd
City
State
Zip
06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000055 (Connecticut)
Definition
Definition to come...
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