| Kelly Lyn Carlson, Lmhc | |
|
5500 Military Trl #22-106 Jupiter FL 33458-2869 | |
| (561) 354-8795 | |
| (561) 743-7165 |
| Full Name | Kelly Lyn Carlson, Lmhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5500 Military Trl, Jupiter, Florida |
| Authorized Official Name and Position | Kelly L Carlson (OWNER) |
| Authorized Official Contact | 5613548795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lyn Carlson, Lmhc 5500 Military Trl #22-106 Jupiter FL 33458-2869 Ph: (561) 354-8795 | Kelly Lyn Carlson, Lmhc 5500 Military Trl #22-106 Jupiter FL 33458-2869 Ph: (561) 354-8795 |
| NPI Number | 1124468764 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124468764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH8729 (Florida) | Primary |
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