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NPI Code Detail

MEDICARE: DANIELLE NICOLE CARROLL LMHC

MEDICARE: DANIELLE NICOLE CARROLL LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor12077-MH-CCMA

General Provider Information

NPI Number : 1437611688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICOLE CARROLL LMHC
Provider Business Mailing Address
First Line : 39 WOODLAND PARK DR
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-2262
Country : US
Telephone Number : 978-361-3191
Fax Number :
Provider Business Practice Location Address
First Line : 100A HAVERHILL ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4297
Country : US
Telephone Number : 978-682-5276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 03/16/2022

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