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Individual
ERIC CARLSON
Active
Individual
ERIC CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007136
NY
101YP2500X
Professional Counselor
007136
NY
Other
Enumeration date
04/29/2016
Last updated
01/01/2024
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