Provider Demographics
NPI:1235371196
Name:CARTER, VIKKI ANNE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:VIKKI
Middle Name:ANNE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6045 SOLOMONS ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639
Mailing Address - Country:US
Mailing Address - Phone:410-257-5200
Mailing Address - Fax:410-257-2442
Practice Address - Street 1:6045 SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639-8876
Practice Address - Country:US
Practice Address - Phone:410-257-5200
Practice Address - Fax:410-257-2442
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional