Carol B Carlson, LMHC
Counselor, Mental Health in Fairport, NY. Individual provider (NPI-1).
NPI number1922513639
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1922513639
- Entity type
- Individual (NPI-1)
- Name
- Carol B Carlson
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2017
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 006557 | NY | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
490 Cross Keys Office ParkFairport, NY 14450-3506
Phone 585-466-0545
Mailing address
2698 Baird RdFairport, NY 14450-1224
Phone 585-466-0545
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All 40 Mental Health Counselor providers in Fairport · All 1,162 providers in Fairport
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