# LISA CARLSON, LMFT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518724517
- **Authorized official:** LISA CARLSON (OWNER)
- **Authorized official phone:** (541) 912-1040

## Contact information

- **Practice address:** 1001 WASHINGTON ST STE 6, EUGENE, OR 97401-3419
- **Practice address phone:** (541) 912-1040
- **Mailing address:** 1711 WILLAMETTE STREET, STE 301, PMB 177, EUGENE, OR 97401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024