Individual
KAITLIN ANN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
707 5TH ST NE, ROANOKE, VA 24016-2123
(540) 966-5808
(540) 966-5811
Mailing address
504 EDGEWOOD LN, BLACKSBURG, VA 24060-5116
(540) 449-5277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701011386
VA
101YM0800X
Mental Health Counselor
0701011386
VA
101YP2500X
Professional Counselor
Primary
0701011386
VA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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