Carroll, Kimberly

Carroll, Kimberly is an sole proprietor health care provider with primary practice located at 310 4Th Ave S Ste 5010 Pmb 91823, Minneapolis MN 55415-1053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Carroll, Kimberly can be contacted via phone (218) 214-6096.

Contact Information

Primary practice address
310 4Th Ave S Ste 5010 Pmb 91823 Minneapolis MN 55415-1053
Phone: (218) 214-6096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304598 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC01739 Minnesota

Profile Details

NPI number 1225589765
LBN Legal business name Carroll, Kimberly
Credentials MA, LADC, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2016
Last updated Aug 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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