Individual
TRACI N CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 286-9004
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60636755
WA
104100000X
Social Worker
CG61170507
WA
104100000X
Social Worker
Primary
SC61184493
WA
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/07/2016
Last updated
08/26/2021
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