person
Thomas Carroll, LPC
Mental Health Counselor in Madison, Wisconsin
NPI 1528478286

Thomas Carroll is a Mental Health Counselor based in Mcfarland, WI and is specialized in Mental Health. Thomas Carroll practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Thomas Carroll is 1528478286 and holds a License No. (Wisconsin).

The current practice location address for Thomas 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, 53558-8922
person
Provider Profile Details
NPI Number
1528478286
Provider Name
Thomas Carroll
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1716 Fordem Ave, Madison, WI, 53558-8922
Phone Number
608-221-3511
Fax Number
608-221-3514
Provider Enumeration Date
05/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528478286 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
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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