Individual
DR. SALVATORE PAUL CARBONARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCDC PSYD
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
TLMLP2853
KS
103TC0700X
Clinical Psychologist
38815
TX
Other
Enumeration date
07/24/2018
Last updated
02/27/2023
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