Individual
TINA JEAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
508 GREGORY ST, SCOTTSBORO, AL 35768-4239
(256) 259-1774
(256) 259-0761
Mailing address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
51540222
AL
Enumeration date
05/02/2007
Last updated
10/15/2010
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