DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRETT LEE CARROLL, APS.004717

Active Sole Proprietor

JERRETT LEE CARROLL, APS.004717 is a Peer Specialist healthcare provider located in EAST LIVERPOOL, Ohio. NPI 1053131904 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · EAST LIVERPOOL, OH

Registration Details

NPI Number
1053131904
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2024 (1.871920719023 yrs)
Last Updated
Oct 15, 2024
Sole Proprietor
Yes

Practice Information

Address
658 WALNUT ST SUIT 3
EAST LIVERPOOL, OH, 43920
Browse OH providers · Browse ZIP 43920
Phone
3309320157
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in EAST LIVERPOOL, OH

Name Credential NPI
HOLLIE KOSEK 1033938907
ANNIE J BERNARD 1417742917
RANDY C GOBELY 1730974247
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.