Individual
JOANNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CNA, MA, PRS
Contact information
Practice address
204 N MAIN ST, SECOND FLOOR, BOWLING GREEN, VA 22427-9416
(202) 997-5738
(804) 729-3529
Mailing address
PO BOX 613, BOWLING GREEN, VA 22427-0613
(202) 769-2032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
0180865658
VA
171M00000X
Case Manager/Care Coordinator
0181969996
VA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180865658
—
VA
05
—
0181969996
—
VA
Enumeration date
06/24/2016
Last updated
12/17/2021
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