Individual
LARISSA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA
Contact information
Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-2700
Mailing address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-2838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
05981
OK
101YM0800X
Mental Health Counselor
Primary
5981
OK
Other
Enumeration date
08/25/2011
Last updated
05/18/2025
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