| Sandra Carlson & Associates | |
|
682 W Boughton Rd Ste D Bolingbrook IL 60440-2199 | |
| (630) 771-0144 | |
| (630) 771-9520 |
| Full Name | Sandra Carlson & Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 682 W Boughton Rd Ste D, Bolingbrook, Illinois |
| Authorized Official Name and Position | Sandra Carlson (PRESIDENT) |
| Authorized Official Contact | 6307710144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Carlson & Associates 682 W Boughton Rd Ste D Bolingbrook IL 60440-2199 Ph: (630) 771-0144 | Sandra Carlson & Associates 682 W Boughton Rd Ste D Bolingbrook IL 60440-2199 Ph: (630) 771-0144 |
| NPI Number | 1184802167 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184802167 | NPI | - | NPPES |
| 09932036 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
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