Provider Demographics
NPI:1326582156
Name:CARTER, CARA (LCPC,LAC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCPC,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 AVENUE D STE A9
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3042
Mailing Address - Country:US
Mailing Address - Phone:406-215-7373
Mailing Address - Fax:
Practice Address - Street 1:1629 AVENUE D STE A9
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3042
Practice Address - Country:US
Practice Address - Phone:406-215-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-19999101YA0400X
MTBBH-LCPC-LIC-37197101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)