Individual
JENNIFER CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
9200 CASCAJO DR NE, ALBUQUERQUE, NM 87111-2206
(724) 614-0375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0173441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04972074
—
NM
Enumeration date
04/13/2015
Last updated
10/27/2016
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