Individual
DR. JENNIFER K CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4046 N CLARENDON AVE APT 3N, CHICAGO, IL 60613-2300
(262) 497-2488
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-4927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
071.009836
IL
103T00000X
Psychologist
Primary
PSY.0006727
CO
103TC0700X
Clinical Psychologist
071.009836
IL
Other
Enumeration date
09/21/2016
Last updated
04/28/2025
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