Individual
ANDREA M CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDCDII
Contact information
Practice address
2131 N LIMESTONE ST, SPRINGFIELD, OH 45503-2676
(937) 717-5843
Mailing address
2131 N LIMESTONE ST, SPRINGFIELD, OH 45503-2676
(937) 717-5843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161337
OH
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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