Individual
KRISTINA MARIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
53171 BAYBERRY DR, MACOMB, MI 48042-2852
(586) 747-6753
Mailing address
53171 BAYBERRY DR, MACOMB, MI 48042-2852
(586) 747-6753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022873
MI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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