National Provider Identifier
Jerry Monroe Carroll
Jerry Monroe Carroll is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Cleveland, OH and a listed phone number of (216) 421-0662.
Source: public NPPES record, last updated August 10, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1205479789
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 28, 2019
- Last Updated
- August 10, 2022
Practice Location
- 1227 Ansel RD
- Cleveland, OH 44108-3323
Phone: (216) 421-0662
Mailing Address
- 1022 Evangeline RD
- Cleveland, OH 44110-3151
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Jerry Carroll is a Cleveland-based addiction counselor whose public listing connects him with Hitchcock Center for Women, a women-focused substance-use treatment organization. Hitchcock’s programs include residential treatment, recovery housing, and outpatient care, with a distinctive model that allows mothers to remain with their children during residential treatment.
Full Record
- NPI
- 1205479789
- Entity Type
- Individual
- Last Name
- Carroll
- First Name
- Jerry
- Middle Name
- Monroe
- Mailing Street Address
- 1022 Evangeline RD
- Mailing City
- Cleveland
- Mailing State
- OH
- Mailing ZIP Code
- 44110-3151
- Mailing Country
- US
- Mailing Phone
- (216) 512-0995
- Practice Street Address
- 1227 Ansel RD
- Practice City
- Cleveland
- Practice State
- OH
- Practice ZIP Code
- 44108-3323
- Practice Country
- US
- Practice Phone
- (216) 421-0662
- Enumeration Date
- October 28, 2019
- Last Updated
- August 10, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 10, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)