| Doctor Name: | GEANIECE DENECE CARTER |
| NPI Number: | 1093970824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180006702 |
| Business Practice Address: | 316c Woodcreek Dr Suite 106 Bolingbrook, IL - 604403305 |
| Business Phone Number: | 3122086855 |
| Business Fax Number: | |
| Mailing Address: | Po Box 7353, ROMEOVILLE |
| State: | IL |
| Postal Code: | 604467253 |
| Phone Number: | 3122086855 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180006702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |