Organization
DANIELLE CARLSON, LMFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RENEE CARLSON LMFT (MANAGER)
(949) 280-2600
Entity
Organization
Contact information
Practice address
3323 W DIVERSEY AVE STE 13, CHICAGO, IL 60647-8582
(773) 609-2296
Mailing address
3323 W DIVERSEY AVE STE 13, CHICAGO, IL 60647-8582
(773) 609-2296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
09/23/2024
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