Doctor Name: | JO CARTHEY |
NPI Number: | 1003231143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 10129 |
Business Practice Address: | 2319 E 29th St Davenport, IA - 528032107 |
Business Phone Number: | 5635284775 |
Business Fax Number: | |
Mailing Address: | 2319 E 29th St, DAVENPORT |
State: | IA |
Postal Code: | 528032107 |
Phone Number: | 5635284775 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2014 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 10129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |