Julia L Carroll, MED, LCPC | |
23429 Dogwood Ln, Jerseyville, IL 62052-2732 | |
(618) 363-5411 | |
Not Available |
Full Name | Julia L Carroll |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 23429 Dogwood Ln, Jerseyville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356890941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.007989 (Illinois) | Primary |
Entity Name | Thriveworks Clinical - Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
Mailing Address | Practice Location Address |
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Julia L Carroll, MED, LCPC 23429 Dogwood Ln, Jerseyville, IL 62052-2732 Ph: (618) 363-5411 | Julia L Carroll, MED, LCPC 23429 Dogwood Ln, Jerseyville, IL 62052-2732 Ph: (618) 363-5411 |
Emily Ahrling Iman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 W County Rd Ste E, Jerseyville, IL 62052 Phone: 618-706-1004 | |
Jacqueline Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-498-1808 Fax: 618-462-2504 | |
Jenna Farmer-brackett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 E County Rd, Jerseyville, IL 62052 Phone: 618-639-2010 Fax: 618-639-2015 | |
Destiny Schmidt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-462-2331 Fax: 618-462-2504 | |
Amanda Crum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-462-2331 Fax: 618-462-2504 | |
Justin Beumer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-498-1808 |