| Danielle Carlson, Lmft Pllc | |
|
3323 W Diversey Ave Ste 13 Chicago IL 60647-8582 | |
| (773) 609-2296 | |
| Not Available |
| Full Name | Danielle Carlson, Lmft Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3323 W Diversey Ave Ste 13, Chicago, Illinois |
| Authorized Official Name and Position | Danielle Renee Carlson (MANAGER) |
| Authorized Official Contact | 9492802600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Carlson, Lmft Pllc 3323 W Diversey Ave Ste 13 Chicago IL 60647-8582 Ph: (773) 609-2296 | Danielle Carlson, Lmft Pllc 3323 W Diversey Ave Ste 13 Chicago IL 60647-8582 Ph: (773) 609-2296 |
| NPI Number | 1891543047 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891543047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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