Individual
RENICCA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7419
(225) 960-7421
Mailing address
4336 NORTH BLVD STE 204, BATON ROUGE, LA 70806-3920
(225) 960-7419
(225) 960-7421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952859472
—
LA
Enumeration date
10/16/2019
Last updated
10/16/2019
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