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Individual

MRS. CRYSTAL CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC, NCC, BC-TMH

Contact information

Practice address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 276-2200
Mailing address
1010 ELLIS ST, MYRTLE, MS 38650-9616
(662) 507-9906

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
5069
TN

Other

Enumeration date
01/16/2020
Last updated
06/24/2022
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