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NPI Code Detail

MEDICARE: KAITLIN ANN CARTER LPC

MEDICARE: KAITLIN ANN 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
1101YM0800XMental Health Counselor0701011386VA
2101YP2500XProfessional Counselor0701011386VA
3101YA0400XAddiction (Substance Use Disorder) Counselor0701011386VA

General Provider Information

NPI Number : 1982342549
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ANN CARTER LPC
Provider Business Mailing Address
First Line : 504 EDGEWOOD LN
Second Line :
City : BLACKSBURG
State : VA
Zip : 24060-5116
Country : US
Telephone Number : 540-449-5277
Fax Number :
Provider Business Practice Location Address
First Line : 707 5TH ST NE
Second Line :
City : ROANOKE
State : VA
Zip : 24016-2123
Country : US
Telephone Number : 540-966-5808
Fax Number : 540-966-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 05/24/2022

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Directions to “ KAITLIN ANN CARTER LPC” Practice Location

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