| Doctor Name: | ALICE KROLL |
| NPI Number: | 1003293242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 002639 |
| Business Practice Address: | 420 Quaker Farms Rd Oxford, CT - 064781307 |
| Business Phone Number: | 2033051012 |
| Business Fax Number: | 2038885275 |
| Mailing Address: | 420 Quaker Farms Rd, OXFORD |
| State: | CT |
| Postal Code: | 064781307 |
| Phone Number: | 2033051012 |
| Fax Number: | 2038885275 |
| NPI Enumeration Date: | 04/27/2015 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |