Individual
MARY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC, CADC-I
Contact information
Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
Mailing address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08160-PC
NV
101YP2500X
Professional Counselor
Primary
CI5282
—
101YP2500X
Professional Counselor
Primary
CP6185
NV
Other
Enumeration date
05/31/2023
Last updated
01/23/2026
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