Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Judith Ann Carroll, RI-C0908210706

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205069796

MS. Judith Ann Carroll, RI-C0908210706 is an Addiction (Substance Use Disorder) Counselor in Clearlake, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

6885 Old Hwy 53
Clearlake, CA 95422 Not confirmed with CMS for 17 years — call before visiting
Phone: (707) 995-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RI-C0908210706 (CA)

Record details

NPI number1205069796
Entity typeIndividual (Type 1)
GenderFemale
Credentials RI-C0908210706
Sole proprietorYes
NPI enumeratedAugust 31, 2009
Last updated in NPPESSeptember 10, 2009

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