Jennifer Ann Carroll, LMFT
Counselor, Mental Health in Fullerton, CA. Individual provider (NPI-1).
NPI number1982169280
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1982169280
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ann Carroll
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2019
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 110311 | CA | Yes |
Practice location
2246 N. State College BlvdFullerton, CA 92831
Phone 714-681-2977
Mailing address
Po Box 5591Fullerton, CA 92838-0591
Phone 714-681-2977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 97 Mental Health Counselor providers in Fullerton · All 6,385 providers in Fullerton
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