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Derek R. Carroll, MA

Marriage & Family Therapist in Laguna Niguel, CA. Individual provider (NPI-1).

NPI number1699836080
StatusActive
Last updated in NPPESFeb 18, 2010

Details

NPI
1699836080
Entity type
Individual (NPI-1)
Name
Mr. Derek R. Carroll
Credential
MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 12, 2006
Last updated
Feb 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFC47238CAYes

Practice location

30011 Ivy Glenn Dr
Suite 221
Laguna Niguel, CA 92677-5014

Phone 949-338-5891

Mailing address

30011 Ivy Glenn Dr
Suite 221
Laguna Niguel, CA 92677-5014

Phone 949-338-5891

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