Organization
KELLY CARLSON, LLC
Active
Other names
Kelly Lyn Carlson, LMHC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L CARLSON LMHC (OWNER)
(561) 354-8795
Entity
Organization
Contact information
Practice address
5500 MILITARY TRL, #22-106, JUPITER, FL 33458-2869
(561) 354-8795
(561) 743-7165
Mailing address
5500 MILITARY TRL, #22-106, JUPITER, FL 33458-2869
(561) 354-8795
(561) 743-7165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8729
FL
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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