Individual
MRS. MARY LASHAUN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
57600922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000922
BEHAVIORAL HEALTH & SOCIAL SERVICE PROVIDERS
SC
Enumeration date
04/30/2019
Last updated
04/30/2019
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