Doctor Name: | JANICE G CARR |
NPI Number: | 1881816353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED SOCIAL WORK |
License Number: | 9295 |
Business Practice Address: | 715 Delmore Dr Roseau, MN - 567511534 |
Business Phone Number: | 2184632500 |
Business Fax Number: | 2184634782 |
Mailing Address: | 715 Delmore Dr, ROSEAU |
State: | MN |
Postal Code: | 567511534 |
Phone Number: | 2184632500 |
Fax Number: | 2184634782 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 9295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |