Individual
MR. SAMUEL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDC 1
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Mailing address
3306 HALIBUT POINT RD SPC 1, SITKA, AK 99835-9554
(907) 738-5283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
12/09/2020
Last updated
12/13/2020
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