Individual
MR. CARTER LEROY FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.C.P.C.
Contact information
Practice address
111 HAZEL AVE., BELLEVILLE, IL 62223-1631
(618) 960-0941
Mailing address
111 HAZEL AVE., BELLEVILLE, IL 62223-1631
(618) 960-0941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002143
MO
101YP2500X
Professional Counselor
Primary
180-02592
IL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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