NPI | 1134622962 |
---|---|
Professional Name | MARCUS JEROME CARTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016049) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016049) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2022-03-02 |