Individual
MICHAEL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 344-7700
Mailing address
5334 MALVERN RD, ROANOKE, VA 24012-1420
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717001510
VA
106H00000X
Marriage & Family Therapist
Primary
071701510
VA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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