Individual provider · Type 1 NPI

Diane A. Carlson, MFT

Mental Health Counselor · Del Mar, CA

NPI number 1104977271 Active

Practice location

2525 Via Pisa
Del Mar, CA 92014-3815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT21255 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1104977271

Diane A. Carlson, MFT's National Provider Identifier is 1104977271, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Del Mar, CA. The record was last updated on Jul 8, 2007.