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Organization

CARLSON CONSULTING CC PSYCHOLOGICAL CORPORATION, DBA CARLSON CONSULTING CLINIC

Active
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Organization

CARLSON CONSULTING CC PSYCHOLOGICAL CORPORATION, DBA CARLSON CONSULTING CLINIC

Active
Other names
Carlson Consulting Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL VICTOR CARLSON PH.D. (CLINICAL & CONSULTING PSYCHOLOGIST)
(510) 444-1110
Entity
Organization

Contact information

Practice address
19200 VON KARMAN AVE STE 600, IRVINE, CA 92612-8516
(510) 444-1110
(949) 885-8885
Mailing address
405 ROCKEFELLER APT 906, IRVINE, CA 92612-7192
(510) 444-1110
(949) 885-8885

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710102595
INDIVIDUAL N.P.I.
CA
Enumeration date
06/01/2026
Last updated
06/01/2026
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