| Carol B. Carlson Mental Heatlh Counseling, P.c. | |
|
490 Cross Keys Office Park Fairport NY 14450-3506 | |
| (585) 466-0545 | |
| (585) 504-7019 |
| Full Name | Carol B. Carlson Mental Heatlh Counseling, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 490 Cross Keys Office Park, Fairport, New York |
| Authorized Official Name and Position | Carol B Carlson (PRESIDENT) |
| Authorized Official Contact | 5854660545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol B. Carlson Mental Heatlh Counseling, P.c. 2698 Baird Rd Fairport NY 14450-1224 Ph: (585) 466-0545 | Carol B. Carlson Mental Heatlh Counseling, P.c. 490 Cross Keys Office Park Fairport NY 14450-3506 Ph: (585) 466-0545 |
| NPI Number | 1679334809 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679334809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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