Individual
MR. MARTRELL CORNELL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 78TH AVE N, BROOKLYN PARK, MN 55445-2758
(612) 924-3807
Mailing address
5403 ELM GROVE AVE, MINNEAPOLIS, MN 55428-3842
(763) 898-9809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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