Individual
DR. TRACY NICOLE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 W ESPLANADE AVE STE 412, KENNER, LA 70065-2475
(504) 464-2940
(504) 464-2941
Mailing address
1300 SOUTH 2ND STREET, SUITE 180, CENTER FOR SEXUAL HEALTH, MINNEAPOLIS, MN 55454
(612) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
1405
LA
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
09/17/2018
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