Individual
NINA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 HARRISON RD STE 300, LOGANVILLE, GA 30052-5896
(770) 863-8810
Mailing address
3915 HARRISON RD STE 300, LOGANVILLE, GA 30052-5896
(260) 418-6032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/24/2018
Last updated
10/19/2022
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