Individual
CYNTHIA JEAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
101 FALLS RD STE 600, GRAFTON, WI 53024-2612
(920) 227-5929
Mailing address
101 FALLS RD STE 600, GRAFTON, WI 53024-2612
(920) 227-5929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4492-125
WI
Other
Enumeration date
07/19/2010
Last updated
04/07/2017
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