Individual provider · Type 1 NPI

Carolyn Michelle Carter-Clark

Counselor · Grants, NM

NPI number 1669774451 Active

Practice location

700 E Roosevelt Ave Ste 18
Grants, NM 87020-2178

Call (505) 876-1890 Map

Fax (505) 876-1886

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1669774451

Carolyn Michelle Carter-Clark's National Provider Identifier is 1669774451, issued on Nov 30, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grants, NM. The record was last updated on Nov 30, 2010.