Individual
JULIE ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
Mailing address
560 W SUNNYSIDE RD STE D, IDAHO FALLS, ID 83402-4641
(208) 274-4720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/12/2025
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