Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YM0800X | Mental Health Counselor | ||
N | 174N00000X | Lactation Consultant | 326596 |
NPI | 1023371135 |
---|---|
Provider Name | Mrs. Alyson Nichole Carter |
First Address | Bellevue, NE 68005-5502 |
Second Address | Bellevue, NE 68005-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 05/05/2021 |