Individual
LATONYA ANN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 SAINT CATHERINES DR, WAKE FOREST, NC 27587-6639
(252) 767-7561
(919) 554-9670
Mailing address
834 SAINT CATHERINES DR, WAKE FOREST, NC 27587-6639
(252) 767-7561
(919) 554-9670
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303124
—
NC
Enumeration date
08/14/2011
Last updated
08/14/2011
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