Servio A. Carroll, NCSP, LPC
Counselor, Professional in Sheridan, WY. Individual provider (NPI-1).
NPI number1720150436
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720150436
- Entity type
- Individual (NPI-1)
- Name
- Mr. Servio A. Carroll
- Credential
- NCSP, LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC- No. 12 | WY | Yes |
Practice location
108 S Thurmond StSheridan, WY 82801-4145
Phone 307-752-6251 · Fax 307-672-6251
Mailing address
511 Airport RdSheridan, WY 82801-5801
Phone 307-672-6251 · Fax 307-672-6251
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