Provider Demographics
NPI:1235426651
Name:CARTER, KATHERINE MARY (LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARY
Last Name:CARTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:859 TURNPIKE ST
Mailing Address - Street 2:UNIT 132
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6149
Mailing Address - Country:US
Mailing Address - Phone:617-290-0533
Mailing Address - Fax:
Practice Address - Street 1:859 TURNPIKE ST
Practice Address - Street 2:UNIT 132
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6149
Practice Address - Country:US
Practice Address - Phone:617-290-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9588101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health