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Individual

DANIEL RYAN CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
Mailing address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002589A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300059549
IN
Enumeration date
03/10/2011
Last updated
10/24/2024
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