MICHAEL CARROLL

LONG BEACH, CA
NPI1245522416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RASi-C1011051345)
Enumeration Date2011-05-06
Last Update Date2011-05-06
Business Address
Mr. MICHAEL CARROLL
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639
Mailing Address
Mr. MICHAEL CARROLL
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-218-3639