Individual
MICHELLE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
200 E 3RD ST STE 5, JAMESTOWN, NY 14701-5433
(716) 661-8330
Mailing address
2 ACADEMY ST RM 201, MAYVILLE, NY 14757-1050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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