Individual
MR. STEPHEN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-A, NCC
Contact information
Practice address
1705 GENEVA LANE., PLANO, TX 75075
(214) 216-1024
Mailing address
PO BOX 862006, PLANO, TX 75086-2006
(214) 216-1024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
89233
TX
101YM0800X
Mental Health Counselor
89233
TX
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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