Individual
MCKENSEE M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 322-3222
Mailing address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 322-1001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
08/01/2026
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