Provider Demographics
NPI:1386235117
Name:CARTER, ANDREW NICHOLAS (LPC, LCPC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:NICHOLAS
Last Name:CARTER
Suffix:
Gender:M
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N RODNEY ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3546
Mailing Address - Country:US
Mailing Address - Phone:406-272-2646
Mailing Address - Fax:
Practice Address - Street 1:801 N RODNEY ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3546
Practice Address - Country:US
Practice Address - Phone:406-272-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009892101YM0800X
MT50323101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty