Individual
SAMANTHA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
5532 WEGG AVE, EAST CHICAGO, IN 46312-3941
(708) 359-5626
Mailing address
5532 WEGG AVE, EAST CHICAGO, IN 46312-3941
(708) 359-5626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000962A
IN
Other
Enumeration date
10/05/2020
Last updated
10/06/2020
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