Doctor Name: | LYNN RAE CARROLL |
NPI Number: | 1124198270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LMHC - 0097841 |
Business Practice Address: | 415 Water St Ellsworth, ME - 046052116 |
Business Phone Number: | 2076675357 |
Business Fax Number: | |
Mailing Address: | 43 Sis Porter Road, SEDGWICK |
State: | ME |
Postal Code: | 04676 |
Phone Number: | 2073269179 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMHC - 0097841 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |