Individual
MR. CARL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1124 INTERNATIONAL BLVD, OAKLAND, CA 94606-4331
(510) 533-0800
(510) 533-0300
Mailing address
1124 INTERNATIONAL BLVD, OAKLAND, CA 94606-4331
(510) 533-0800
(510) 533-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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