Individual
LORI ANN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC2, QMHP
Contact information
Practice address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
(541) 884-1105
Mailing address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
(541) 884-1105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-11-03
OR
101YM0800X
Mental Health Counselor
24-QMHPC-001392
OR
101YP2500X
Professional Counselor
—
OR
Other
Enumeration date
10/18/2018
Last updated
02/02/2024
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