Carroll, Derek R.
Carroll, Derek R. is an sole proprietor health care provider with primary practice located at 30011 Ivy Glenn Dr Suite 221, Laguna Niguel CA 92677-5014. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Carroll, Derek R. can be contacted via phone (949) 338-5891.Contact Information
Primary practice address
30011 Ivy Glenn Dr Suite 221
Laguna Niguel CA 92677-5014
Phone: (949) 338-5891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC47238 | California |
Profile Details
| NPI number | 1699836080 |
|---|---|
| LBN Legal business name | Carroll, Derek R. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Feb 18th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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