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Individual
MR. MATTHEW WILLIAM CARLSON
Active
Individual
MR. MATTHEW WILLIAM CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000621
CO
101YM0800X
Mental Health Counselor
6401013334
MI
101YM0800X
Mental Health Counselor
TPMC1178
FL
101YP2500X
Professional Counselor
86425
TX
101YP2500X
Professional Counselor
Primary
LPC.0012306
CO
Other
Enumeration date
11/03/2012
Last updated
01/05/2024
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