| Doctor Name: | JENNIFER M CARROLL |
| NPI Number: | 1831263128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1163 |
| Business Practice Address: | 2667 Highway 145 Saltillo, MS - 388669771 |
| Business Phone Number: | 6628693042 |
| Business Fax Number: | 6628693405 |
| Mailing Address: | 2667 Highway 145, SALTILLO |
| State: | MS |
| Postal Code: | 388669771 |
| Phone Number: | 6628693042 |
| Fax Number: | 6628693405 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 01/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |