| C3s Carlson Counseling & Consulting Services | |
|
1201 Terminal Way Ste 111 Reno NV 89502-3398 | |
| (775) 657-8566 | |
| Not Available |
| Full Name | C3s Carlson Counseling & Consulting Services |
|---|---|
| Speciality | Psychologist |
| Location | 1201 Terminal Way Ste 111, Reno, Nevada |
| Authorized Official Name and Position | Rita A Carlson (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7753152980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C3s Carlson Counseling & Consulting Services 191 Shady Grove Ln Dayton NV 89403-6364 Ph: (775) 315-2980 | C3s Carlson Counseling & Consulting Services 1201 Terminal Way Ste 111 Reno NV 89502-3398 Ph: (775) 657-8566 |
| NPI Number | 1720691074 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 1557780046 |
|---|---|
| Medicare Enrollment ID | O20201002000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720691074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rita A Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790022952 PECOS PAC ID: 6507192937 Enrollment ID: I20210421001412 |
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