Individual provider · Type 1 NPI
Tina Marie Carlson, LPC
Professional Counselor · Mc Farland, WI
NPI number
1124323795
Active
Practice location
3579 Siggelkow Rd
Mc Farland, WI 53558-9646
Mailing address
2672 Norwich St
Fitchburg, WI 53711-5456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 125-3308 (WI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1124323795
Tina Marie Carlson, LPC's National Provider Identifier is 1124323795, issued on Jan 12, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mc Farland, WI. The record was last updated on Jan 12, 2011.