Jennifer M Carroll, LPC
Individual provider Active NPI Professional Counselor · Saltillo, MS
NPI 1831263128 · NPPES record last updated Jan 22, 2011
Key facts
- NPI
- 1831263128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1163 (MS)
- Practice address
- 2667 Highway 145
Saltillo, MS 38866-9771 - Phone
- (662) 869-3042
- Fax
- (662) 869-3405
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1163 | MS | Yes |
Addresses
Primary practice location
2667 Highway 145
Saltillo, MS 38866-9771
Mailing address
2667 Highway 145
Saltillo, MS 38866-9771
Phone (662) 869-3042
Other providers in Saltillo, MS
- Amber Alicia Bryant
- Christy Lynn Burns
- Caring Heart and Hands House
- Carole Moore Counseling and Consulting, LLC
- Adrianna Carpenter
- Emilly Marie Carter
- Linda Chidester
- Chiropractic Center of Saltillo
- Sarah Rebekah Christian
- Steven B Coggins X
All providers in Saltillo, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.