Individual
GERI CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., M.MIN.
Contact information
Practice address
8182 STATE ROAD 17, PLYMOUTH, IN 46563-8282
(574) 941-2300
Mailing address
8182 STATE ROAD 17, PLYMOUTH, IN 46563-8282
(574) 941-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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