Individual
MS. CARRIE LEE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 7TH ST, EUREKA, CA 95501-1113
(707) 445-1195
(707) 444-8298
Mailing address
930 3RD ST STE 201, EUREKA, CA 95501-0554
(707) 441-8626
(707) 442-5040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25582
CA
Other
Enumeration date
02/26/2007
Last updated
08/13/2009
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