Individual
JOHN DAVID CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
T-LMAC
Contact information
Practice address
2304 SKYVUE LN, MANHATTAN, KS 66502-3178
(785) 320-5505
(785) 320-5517
Mailing address
3000 GRAND MERE PKWY APT 16, MANHATTAN, KS 66503-8650
(785) 564-3854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01074
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
01074
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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