Individual
DANIELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 W DIVERSEY AVE STE 13, CHICAGO, IL 60647-8582
(773) 609-2296
Mailing address
3323 W DIVERSEY AVE STE 13, CHICAGO, IL 60647-8582
(773) 609-2296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000545
IL
Other
Enumeration date
09/02/2016
Last updated
09/23/2024
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