DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEDE CARSON, MAADCII

Active Sole Proprietor

Addiction (Substance Use Disorder) Counselor · AURORA, MO

Registration Details

NPI Number
1982245825
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2019 (6.5606138555476 yrs)
Last Updated
Oct 2, 2019
License
9512 (MO)
Sole Proprietor
Yes

Practice Information

Address
1401 S ELLIOTT AVE
AURORA, MO, 656052103
Browse MO providers · Browse ZIP 65605
Phone
4176719856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.