Individual
GLEN D CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE
Contact information
Practice address
211 JACKSON ST SW, CAMDEN, AR 71701-3941
(870) 836-5743
(870) 836-6924
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06-21 AE-PL
AR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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