Michel Antonia Carter
NPI #1073189585 in Bloomington, Illinois
Provider Information
- NPI Number
- 1073189585
- Entity Type
- Individual
- Name
- Michel Antonia Carter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 3, 2021
- Last Updated
- Jun 3, 2021
Practice Location
- Address
- 205 N WILLIAMSBURG DR STE A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7721
- Phone
- (309) 807-5077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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