| Doctor Name: | AUDREY E. CARRICK |
| NPI Number: | 1295096626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 24 |
| Business Practice Address: | 45400 Ashwood Ct La Quinta, CA - 922534123 |
| Business Phone Number: | 7603931475 |
| Business Fax Number: | |
| Mailing Address: | 45400 Ashwood Court, LA QUINTA |
| State: | CA |
| Postal Code: | 92253 |
| Phone Number: | 7603931475 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2012 |
| NPI Last Update Date: | 06/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 24 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |