Individual
CHERYL TERESA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHCA, CDPT
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188
(206) 721-5170
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60534472
WA
101YM0800X
Mental Health Counselor
MC60641016
WA
Other
Enumeration date
02/09/2016
Last updated
09/04/2018
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