Dr. Jonathan Eric Carroll
Pastoral Counselor
318 Saint Elizabeth St
Owensboro
, Kentucky 42301-0729
Dr. Jonathan Eric Carroll
Pastoral Counselor
318 Saint Elizabeth St
Owensboro
, Kentucky 42301-0729
(270) 925-4922
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Jonathan Eric Carroll
- 318 Saint Elizabeth St
- Owensboro, KY
- Zip : 42301-0729
- Phone : (270) 925-4922
Second Address
- Dr. Jonathan Eric Carroll
- 318 Saint Elizabeth St
- Owensboro, KY
- Zip : 42301-0729
- Phone : (270) 925-4922
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | 148963 | KY |
National Provider Identifier
| NPI | 1093396822 |
|---|---|
| Provider Name | Dr. Jonathan Eric Carroll |
| First Address | Owensboro, KY 42301-0729 |
| Second Address | Owensboro, KY 42301-0729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2021 |
| Last Update Date | 14/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 148963 | STATE-ISSUED LICENSE TO PRACTICE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.