Individual
ANDREW CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Mailing address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADD13838
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23342
CHARTERED (MEDICAID MCO)
DC
01
—
287835
AMERIGROUP(MEDICAID MCO)
DC
01
—
5298
HEALTHRIGHT(MEDICAID MCO)
DC
Enumeration date
03/02/2007
Last updated
07/08/2007
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