Individual
MIYOKIA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 PALM VILLA, APT1, THIBODAUX, LA 70301-4200
(985) 232-8449
Mailing address
114 PALM VILLA, APT1, THIBODAUX, LA 70301-4200
(985) 232-8449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7296
LA
101YP2500X
Professional Counselor
Primary
7296
LA
101YS0200X
School Counselor
—
—
Other
Enumeration date
12/09/2016
Last updated
06/15/2020
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