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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X125-3308 (WI)

Professional Counselor: Definition to come...

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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.