Individual
MR. JEFFREY JOHN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CAC I
Contact information
Practice address
1321 S FAYETTE ST, SAGINAW, MI 48602-1447
(989) 792-8000
(989) 792-8445
Mailing address
87 BELLWOOD DR, SWARTZ CREEK, MI 48473-8284
(810) 635-4510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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