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Jason Carroll, LMHC
Mental Health Counselor in Pensacola, Florida
NPI 1770845588

Jason Carroll is a Mental Health Counselor based in Pensacola, FL and is specialized in Mental Health. Jason Carroll practices in Pensacola, FL and has the professional credentials of LMHC. The NPI Number for Jason Carroll is 1770845588 and holds a License No. MH11036 (Florida).

The current practice location address for Jason Carroll is 1221 W Lakeview Ave, Pensacola, FL and can be reached out via phone at 850-469-3500 and via fax at 850-595-1400.

Location: 1221 W Lakeview Ave, Pensacola, FL, 32501-1857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770845588
Provider Name
Jason Carroll
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1221 W Lakeview Ave, Pensacola, FL, 32501-1857
Phone Number
850-469-3500
Fax Number
850-595-1400
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006491900 05 FL
institution
Provider Business Practice Location Address Details
Address
1221 W Lakeview Ave
City
Pensacola
State
Florida
Zip
32501-1857
Phone Number
850-469-3500
Fax Number
850-595-1400
person
Provider Business Mailing Address Details
Address
1221 W Lakeview Ave
City
Pensacola
State
Florida
Zip
32501-1857
Phone Number
850-469-3500
Fax Number
850-595-1400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH11036 (Florida)
Definition
Definition to come...
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