Doctor Name: | MR. JOHN EDWIN CARROLL |
NPI Number: | 1841257037 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 3874 |
Business Practice Address: | 2002 S Glenburnie Rd Suite 5-d New Bern, NC - 285625229 |
Business Phone Number: | 2526388249 |
Business Fax Number: | 2526388248 |
Mailing Address: | 109 Shoreline Dr, NEW BERN |
State: | NC |
Postal Code: | 28562 |
Phone Number: | 2526331770 |
Fax Number: | 2526388248 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 10/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |