Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Carroll, LAC

Individual provider Acupuncturist · NPI 1861922965

Mark Carroll, LAC is an Acupuncturist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

255 Farmers Ln
Santa Rosa, CA 95405-4721
Phone: (707) 477-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC11758 (CA)

Record details

NPI number1861922965
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedJune 13, 2017
Last updated in NPPESJune 13, 2017
Mailing address729 Brentwood Dr, Santa Rosa, CA 95405-6607

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