Michael Carroll
Michael Carroll is a Counselor in South Bend, Indiana. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
415 E Madison StSouth Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1558093195 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2022 |
| Last updated in NPPES | June 30, 2022 |
| Certification date | June 30, 2022 |
| Mailing address | Po Box 809, Goshen, IN 46527-0809 |
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