Individual
AMY BETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90017-1931
(213) 712-1561
Mailing address
1200 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90017-1931
(213) 712-1561
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
138189
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2022
Last updated
03/03/2023
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