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NPI Code Detail

MEDICARE: DEANDREA CARTER

MEDICARE: DEANDREA 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
1101Y00000XCounselor8367LA

General Provider Information

NPI Number : 1982316550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANDREA CARTER
Provider Business Mailing Address
First Line : 201 HOLIDAY COVE DR
Second Line :
City : MONROE
State : LA
Zip : 71203-1901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 HOLIDAY COVE DR
Second Line :
City : MONROE
State : LA
Zip : 71203-1901
Country : US
Telephone Number : 903-316-6218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2022
Last Update Date : 12/15/2022

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Directions to “ DEANDREA CARTER ” Practice Location

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