Individual
ADDIE B CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, RAC
Contact information
Practice address
5617 BLUE MEADOW CIR, KALAMAZOO, MI 49048-8225
(269) 998-6288
Mailing address
P.O. BOX 535, KALAMAZOO, MI 49004
(269) 998-6288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401011964
MI
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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