| NPI | 1962021212 |
|---|---|
| Other Name | TED L CARROLL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60947452) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61050462) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-11-16 |