Provider Demographics
NPI:1013686609
Name:CARTER, BARB J (DM, CADCII, QMHP-C)
Entity Type:Individual
Prefix:DR
First Name:BARB
Middle Name:J
Last Name:CARTER
Suffix:
Gender:F
Credentials:DM, CADCII, QMHP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FERRY ST SE STE 300
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3748
Mailing Address - Country:US
Mailing Address - Phone:971-218-1595
Mailing Address - Fax:503-391-6879
Practice Address - Street 1:525 FERRY ST SE STE 300
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3748
Practice Address - Country:US
Practice Address - Phone:971-218-1595
Practice Address - Fax:503-391-6879
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR98-04-52101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)