Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1508498734 |
| LBN Legal business name | CARTER COLLABORATIVE COUNSELING |
| Authorized official | HEATHER CARTER - (OWNER, THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/05/2020 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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