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General NPI Number Information
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NPI Number | 1356712442
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Entity Type | Individual
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Provider Name | KATHRYN HOPE CARTER MS, LPC, LPCC, ATR-B
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Gender | Female
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 881 ALMA REAL DRIVE, SUITE 218 RECONNECT INTEGRATIVE TRAUMA TREATMENT CENTER
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272
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Country | US
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Telephone | 310-909-7888
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 58036
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City | SHERMAN OAKS
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State | CA
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Zip | 91413
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Country | US
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Telephone | 646-554-0990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC821
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701003167
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License Number State | VA
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