Organization
CARLSON PSYCHOTHERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY CARLSON LCSW (OWNER/CEO)
(626) 421-4630
Entity
Organization
Contact information
Practice address
2810 E DEL MAR BLVD STE 12, PASADENA, CA 91107-6709
(626) 585-0041
Mailing address
2810 E DEL MAR BLVD STE 12, PASADENA, CA 91107-6709
(626) 585-0041
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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