MEDICARE: JANE CARTER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	4559	NC

General Provider Information

NPI Number	:	1699917278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE CARTER LPC

Provider Business Mailing Address
First Line	:	PO BOX 1267
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757
Country	:	US
Telephone Number	:	828-669-8012
Fax Number	:	828-669-5511

Provider Business Practice Location Address
First Line	:	310 GAITHER CIR
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757-1267
Country	:	US
Telephone Number	:	828-669-8012
Fax Number	:	828-669-5511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	03/30/2009

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