Individual provider · Type 1 NPI

Carter Evans Childs, RAS-C0509020847

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1891836136 Active

Practice location

83912 Avenue 45, Suite #9
Indio, CA 92201-3338

Call (760) 347-0754 Map

Fax (760) 347-8507

Mailing address

PO Box 355
La Quinta, CA 92247-0355

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891836136

Carter Evans Childs, RAS-C0509020847's National Provider Identifier is 1891836136, issued on Feb 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on Sep 2, 2010.