Provider Demographics
NPI:1750432233
Name:JUUL, CAROL (LCSW,ACSW)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:JUUL
Suffix:
Gender:F
Credentials:LCSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89407-0370
Mailing Address - Country:US
Mailing Address - Phone:775-867-4123
Mailing Address - Fax:775-867-4914
Practice Address - Street 1:158 S TAYLOR ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3261
Practice Address - Country:US
Practice Address - Phone:775-867-4123
Practice Address - Fax:775-867-4914
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2940-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical