Individual
CZYZ CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
3003 KNIGHT ST STE 115, SHREVEPORT, LA 71105-2561
(318) 227-8390
Mailing address
2926 COUNTRY CIR, MESQUITE, TX 75181-2137
(214) 875-0068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
86170
TX
171M00000X
Case Manager/Care Coordinator
PLC8141
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/09/2019
Last updated
01/25/2022
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