Individual
BREANNA LOUISE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW CANDIDATE
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60744195
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60850463
WA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2017
Last updated
04/08/2021
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