Individual
HAILY J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W 1175 N, BEAVER, UT 84713
(435) 438-5537
(435) 986-8700
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CARTEH
SWCBH STAFF CODE
UT
Enumeration date
08/15/2007
Last updated
08/15/2007
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