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Dusty Ralynn Carter
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1700394426

Dusty Ralynn Carter is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Dusty Ralynn Carter practices in Kelso, WA. The NPI Number for Dusty Ralynn Carter is 1700394426 and holds a License No. 60490075 (Washington).

The current practice location address for Dusty Ralynn Carter is 305 Pacific Ave S Ste 102, Kelso, WA and can be reached out via phone at 360-577-7442 and via fax at 360-577-7904.

Location: 305 Pacific Ave S Ste 102, Kelso, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700394426
Provider Name
Dusty Ralynn Carter
Credential
Provider Entity Type
Individual
Gender
Female
Address
305 Pacific Ave S Ste 102, Kelso, WA, 98632
Phone Number
360-577-7442
Fax Number
360-577-7904
Provider Enumeration Date
01/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
60490075 (Washington)
Definition
Definition to come...
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