Provider Demographics
NPI:1356476089
Name:CARTER, ALFRED RENARD (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:RENARD
Last Name:CARTER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23468 SCHOOLCRAFT STREET
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2175
Mailing Address - Country:US
Mailing Address - Phone:310-908-4598
Mailing Address - Fax:
Practice Address - Street 1:23468 SCHOOLCRAFT STREET
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2175
Practice Address - Country:US
Practice Address - Phone:310-908-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist