Individual
MS. STACIE ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
210 S MAIN STREET, THREE RIVERS, MI 49093
(269) 273-5000
(269) 273-9456
Mailing address
210 S MAIN STREET, THREE RIVERS, MI 49093
(269) 273-5000
(269) 273-9456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401009833
MI
103T00000X
Psychologist
Primary
6301012837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
09/21/2006
Last updated
09/11/2025
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