Jimmy Carter
Jimmy Carter is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1735 Enterprise Dr Ste 105AFairfield, CA 94533-6822
Phone: (707) 425-1799
Fax: (707) 425-1081
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1639546476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2015 |
| Last updated in NPPES | August 27, 2015 |
| Mailing address | 1735 Enterprise Dr, Suite 105a, Fairfield, CA 94533-6822 |
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