Organization
CARLSON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY E CARLSON M.DIV., LIMHP, LADC (PROVIDER / OWNER)
(402) 721-8805
Entity
Organization
Contact information
Practice address
230 E 22ND ST, SUITE 3, FREMONT, NE 68025-2661
(402) 721-8805
(402) 727-4839
Mailing address
230 E 22ND ST, SUITE 3, FREMONT, NE 68025-2661
(402) 721-8805
(402) 727-4839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
683
NE
101YM0800X
Mental Health Counselor
Primary
18
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025637500
—
NE
05
—
10025820000
—
NE
Enumeration date
03/25/2016
Last updated
03/25/2016
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