Thaddeus Cornelius Carroll
Thaddeus Cornelius Carroll is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1045 E 20th StLos Angeles, CA 90011-1107
Phone: (213) 205-8221
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence RADT-R1509870623 |
|---|
Record details
| NPI number | 1073369518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 1045 E 20th St, Los Angeles, CA 90011-1107 |
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