Individual
MR. SCOTT KEVIN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.P.
Contact information
Practice address
5731 S 108TH ST, OMAHA, NE 68137-3746
(402) 201-9693
Mailing address
16359 W ST, OMAHA, NE 68135-3137
(402) 301-9693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
592
NE
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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