Individual
MISS GEORGE-ANN MARIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
1234 S CHAMPION AVE, COLUMBUS, OH 43206-3028
(614) 622-5155
Mailing address
1234 S CHAMPION AVE, COLUMBUS, OH 43206-3028
(614) 622-5155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184702
OH
171M00000X
Case Manager/Care Coordinator
CHW.001514
—
172V00000X
Community Health Worker
CHW.001514
OH
175T00000X
Peer Specialist
APS.003389
OH
Other
Enumeration date
07/12/2022
Last updated
08/29/2023
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