Individual
JOSI WYLYNN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
414 E BELOIT AVE, SALINA, KS 67401-6216
(785) 545-6486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306995
MN
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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