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Individual

DANIELLE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
(913) 826-1589
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00893
KS
103T00000X
Psychologist
2886
KS
103TP2701X
Group Psychotherapy Psychologist
Primary
01533
KS

Other

Enumeration date
10/08/2018
Last updated
10/02/2023
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