Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 12595 | NC |
N | 101YM0800X | Mental Health Counselor | A12595 | NC |
N | 225C00000X | Rehabilitation Counselor | 00211991 | NC |
NPI | 1104343516 |
---|---|
Provider Name | Christina Louise Carter |
First Address | Cary, NC 27518-2278 |
Second Address | Cary, NC 27518-2277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2017 |
Last Update Date | 14/02/2022 |