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NPI Code Detail

MEDICARE: CHERESE CARTER

MEDICARE: CHERESE CARTER
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
1101YP2500XProfessional CounselorLC13947MD

General Provider Information

NPI Number : 1124804588
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERESE CARTER
Provider Business Mailing Address
First Line : 6205 GILBRALTER LN
Second Line :
City : BOWIE
State : MD
Zip : 20720-5312
Country : US
Telephone Number : 817-938-4437
Fax Number :
Provider Business Practice Location Address
First Line : 11785 BELTSVILLE DR STE 120
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3121
Country : US
Telephone Number : 240-389-1487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 09/01/2023

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Directions to “ CHERESE CARTER ” Practice Location

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