Individual
CARISSA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49869 CALHOUN ST UNIT 204-205, COACHELLA, CA 92236-9720
(760) 398-9090
Mailing address
50991 WASHINGTON ST., STE 4 # 185, LA QUINTA, CA 92253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15371
CA
Other
Enumeration date
02/28/2018
Last updated
04/25/2025
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