Jerrett Lee Carroll, APS004717
Jerrett Lee Carroll, APS004717 is a Peer Specialist in East Liverpool, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
658 Walnut St Suit 3East Liverpool, OH 43920
Phone: (330) 932-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1053131904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APS004717 |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2024 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
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