Individual
MR. JEFFREY PATRICK CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
812 S WALNUT ST, SPOKANE, WA 99204-3326
(509) 475-9768
Mailing address
16201 E SPRAGUE AVE APT 3, SPOKANE VALLEY, WA 99037-8544
(509) 475-9768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60644091
DOH
WA
Enumeration date
03/14/2017
Last updated
03/14/2017
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