Individual
CARSON DANIEL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
5730 W ROOSEVELT RD, CHICAGO, IL 60644-1580
(773) 413-1700
Mailing address
5730 W ROOSEVELT RD, CHICAGO, IL 60644-1580
(773) 413-1700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
103TS0200X
School Psychologist
—
IL
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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