Provider Demographics
NPI:1477727253
Name:CARTER, RUTH (MS, NCC, LAC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS, NCC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 E MCDOWELL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2664
Mailing Address - Country:US
Mailing Address - Phone:602-307-5330
Mailing Address - Fax:602-307-5021
Practice Address - Street 1:1144 E MCDOWELL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2664
Practice Address - Country:US
Practice Address - Phone:602-307-5330
Practice Address - Fax:602-307-5021
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-12171101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor