Individual
MR. ALBERT PRINCE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
Mailing address
1126 E HIGHLAND CT, ONTARIO, CA 91764-1022
(909) 946-9612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1019
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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