Individual
TAYLOR NICOLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC S
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 202-2384
Mailing address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 202-2384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0709025636
VA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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