Individual
ANTHONY SHAWN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1400 E COOLEY DR STE 200A, COLTON, CA 92324-3939
(909) 295-5295
(909) 295-5295
Mailing address
30300 ANTELOPE RD APT 828, MENIFEE, CA 92584-9467
(909) 708-5849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF81612
CA
106H00000X
Marriage & Family Therapist
Primary
111892
CA
Other
Enumeration date
02/27/2015
Last updated
05/16/2019
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