Provider Demographics
NPI:1710255310
Name:CARTER, LAURA L (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 REDCLIFF DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0161
Mailing Address - Country:US
Mailing Address - Phone:530-530-5150
Mailing Address - Fax:
Practice Address - Street 1:448 REDCLIFF DR
Practice Address - Street 2:SUITE 215
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0161
Practice Address - Country:US
Practice Address - Phone:530-515-0636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA259751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical