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Individual

AMBER CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 LEO MOSS DR, SUITE 4308, OLEAN, NY 14760-1156
(716) 373-8040
(716) 701-3728
Mailing address
1 LEO MOSS DR, SUITE 4308, OLEAN, NY 14760-1156
(716) 373-8040
(716) 701-3728

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00635098
NY
Enumeration date
02/18/2016
Last updated
02/18/2016
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