Carroll, Thomas Patrick

Carroll, Thomas Patrick is an individual health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Carroll, Thomas Patrick can be contacted via phone (262) 687-2222.

Contact Information

Primary practice address
1320 Wisconsin Ave Racine WI 53403-1978
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4208-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4208 Wisconsin

Profile Details

NPI number 1447695481
LBN Legal business name Carroll, Thomas Patrick
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2013
Last updated Dec 11th, 2018 - about 8 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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