Individual
NICHOLAS DAVID CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1100 SW 170TH AVE UNIT 201, BEAVERTON, OR 97003-8093
(503) 608-0218
Mailing address
1100 SW 170TH AVE UNIT 201, BEAVERTON, OR 97003-8093
(503) 608-0218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C9083
OR
101YP2500X
Professional Counselor
Primary
C9083
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/22/2020
Last updated
07/20/2026
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