Individual
MRS. KYM CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
26862 WOODWARD AVE UNIT 103, ROYAL OAK, MI 48067-0958
(248) 858-7766
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401011500
MI
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
6401011500
MI
Other
Enumeration date
07/01/2009
Last updated
04/13/2026
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