Individual
ALICJA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
(405) 701-7914
Mailing address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
745
OK
Other
Enumeration date
10/05/2011
Last updated
05/20/2013
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