Carroll, Doreen Marie

Carroll, Doreen Marie is an individual health care provider with primary practice located at 200 Valencia Drive Ste #161, Jacksonville NC 28546. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Carroll, Doreen Marie can be contacted via phone (910) 347-9855.

Contact Information

Primary practice address
200 Valencia Drive Ste #161 Jacksonville NC 28546
Phone: (910) 347-9855
Fax: (910) 353-4310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 647 North Carolina

Profile Details

NPI number 1871567404
LBN Legal business name Carroll, Doreen Marie
Credentials MS LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871567404 NPPES
North Carolina MEDICAID 6105050

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