SearchCalifornia101YA0400X

Penny Carroll, CADC II ,ICADC

NPI 1780993857 · on the registry since 2010 · sole proprietor

Practice

Address
1841 E Main St
Barstow, CA 92311
Phone
(760) 255-5700
Fax
(760) 256-0509
Organisation at this address
County Of San Bernardino
County Of San Bernardino
San Bernardino County Dbh
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 13333 Palmdale Rd, Victorville, CA

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California