Individual
MRS. CORIE GAYLE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1300 W BELMONT AVE, CHICAGO, IL 60657-3200
(312) 813-7701
Mailing address
18932 MEADOW CREEK DR, MOKENA, IL 60448-9109
(331) 998-5964
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001282
IL
106H00000X
Marriage & Family Therapist
208.000574
IL
Other
Enumeration date
10/27/2010
Last updated
08/03/2023
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