| Doctor Name: | MRS. HEATHER CARR |
| NPI Number: | 1285948976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4460 |
| Business Practice Address: | 2624 9th Ave S Fargo, ND - 581032350 |
| Business Phone Number: | 7012984500 |
| Business Fax Number: | 7012984400 |
| Mailing Address: | 2624 9th Ave S, Southeast Human Service Center FARGO |
| State: | ND |
| Postal Code: | 58103 |
| Phone Number: | 7012984500 |
| Fax Number: | 7012984400 |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 04/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy 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 |