| Doctor Name: | MRS. CARLA JEAN CARTWRIGHT |
| NPI Number: | 1114276839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SAC |
| License Number: | 15757-131 |
| Business Practice Address: | 108 N. Lincoln Avenue Beaver Dam, WI - 53916 |
| Business Phone Number: | 9208878751 |
| Business Fax Number: | 9208873977 |
| Mailing Address: | 108 N. Lincoln Avenue, BEAVER DAM |
| State: | WI |
| Postal Code: | 53916 |
| Phone Number: | 9208878751 |
| Fax Number: | 9208873977 |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15757-131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |