Organization
GEORGE CARLSON
Active
Other names
george carlson counseling
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CARLSON LSW (COUNSELOR)
(814) 952-7103
Entity
Organization
Contact information
Practice address
6068 ROUTE 119, PUNXSUTAWNEY, PA 15767
(814) 952-7103
Mailing address
6068 ROUTE 119, PUNXSUTAWNEY, PA 15767-4019
(814) 952-7103
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
SW132824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254
—
PA
Enumeration date
11/18/2015
Last updated
11/18/2015
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