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

MS. Judith Ann Carroll, RI-C0908210706

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205069796

MS. Judith Ann Carroll, RI-C0908210706 is an Addiction (Substance Use Disorder) Counselor in Clearlake, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

6885 Old Hwy 53
Clearlake, CA 95422
Phone: (707) 995-3235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RI-C0908210706 (CA)

Record details

NPI number1205069796
Entity typeIndividual (Type 1)
GenderFemale
Credentials RI-C0908210706
Sole proprietorYes
NPI enumeratedAugust 31, 2009
Last updated in NPPESSeptember 10, 2009

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