Individual
AMY SUE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-II
Contact information
Practice address
200 GRAPEVINE RD., #G27, VISTA, CA 92083
(760) 744-3672
Mailing address
200 GRAPEVINE RD, APT.#G27, VISTA, CA 92083-4037
(760) 744-3672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01025679
CA
Other
Enumeration date
12/18/2007
Last updated
12/28/2016
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