Individual
MR. CARTER EVANS CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS-C0509020847
Contact information
Practice address
83912 AVENUE 45, SUITE #9, INDIO, CA 92201-3338
(760) 347-0754
(760) 347-8507
Mailing address
PO BOX 355, LA QUINTA, CA 92247-0355
(760) 347-0754
(760) 347-8507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
09/02/2010
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