Individual provider · Type 1 NPI

Detra Carter

Mental Health Counselor · Cincinnati, OH

NPI number 1215820063 Active

Practice location

3650 Muddy Creek Rd Ste 100
Cincinnati, OH 45238-2058

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1215820063

Detra Carter's National Provider Identifier is 1215820063, issued on May 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cincinnati, OH. The record was last updated on May 30, 2025.