Theresa Carroll, PCC-S

NPI 1821262254 · on the registry since 2008

Practice

Address: 720 19th St Ne
Canton, OH 44714
Phone: (330) 491-1351
Fax: (330) 491-9720
Organisation at this address: Domestic Violence Project, Inc
Domestic Violence Project, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-16

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 Ohio