Individual
RANDY M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 STEVENSON ST, SAN FRANCISCO, CA 94103-1606
(415) 360-2388
Mailing address
1282 MARKET ST, SAN FRANCISCO, CA 94102-4801
(415) 360-2388
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-OKRPUV
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A019130615
CERTIFIED ALCOHOL AND DRUG COUNSELOR
CA
Enumeration date
07/07/2020
Last updated
06/02/2026
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