Individual
IREESHA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 AUGUSTINE AVE, FREDERICKSBURG, VA 22401-4606
(240) 689-0857
Mailing address
1802 AUGUSTINE AVE, FREDERICKSBURG, VA 22401-4606
(240) 689-0857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2262
MD
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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