Individual
CAROL B CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
490 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3506
(585) 466-0545
Mailing address
2698 BAIRD RD, FAIRPORT, NY 14450-1224
(585) 466-0545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006557
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/05/2017
Last updated
01/11/2024
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