Individual
CAROLINE JEAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
205 MIDDLETON ST APT 5V, BROOKLYN, NY 11206-3183
(917) 740-6806
Mailing address
205 MIDDLETON ST APT 5V, BROOKLYN, NY 11206-3183
(504) 919-5888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8340
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
013643
NY
171M00000X
Case Manager/Care Coordinator
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2020
Last updated
08/07/2024
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