Provider Demographics
NPI:1841684453
Name:CARTER, CHRISTINA (MSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 ERIE BLVD.
Mailing Address - Street 2:SUITE C
Mailing Address - City:SUSQUEHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18847-2791
Mailing Address - Country:US
Mailing Address - Phone:570-853-0911
Mailing Address - Fax:570-853-0910
Practice Address - Street 1:25066 STATE ROUTE 11
Practice Address - Street 2:
Practice Address - City:HALLSTEAD
Practice Address - State:PA
Practice Address - Zip Code:18822-8816
Practice Address - Country:US
Practice Address - Phone:570-879-5249
Practice Address - Fax:570-879-2418
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health