Danielle Carlson
Marriage & Family Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1982151379
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1982151379
- Entity type
- Individual (NPI-1)
- Name
- Danielle Carlson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2016
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 208.000545 | IL | Yes |
Practice location
3323 W Diversey Ave Ste 13Chicago, IL 60647-8582
Phone 773-609-2296
Mailing address
3323 W Diversey Ave Ste 13Chicago, IL 60647-8582
Phone 773-609-2296
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