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Individual

MS. JAN CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
504 W 17TH ST, AUSTIN, TX 78701-1203
(512) 306-1488
Mailing address
4907 SUMMERSET TRL, AUSTIN, TX 78749-1329
(512) 306-1488

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09019
TX

Other

Enumeration date
05/14/2007
Last updated
01/19/2008
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