Individual provider · Type 1 NPI
Jennifer Carlsen, MS
Professional Counselor · Modesto, CA
NPI number
1417089780
Active
Practice location
800 Scenic Dr
Modesto, CA 95350-6131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 50090 (CA) |
Professional Counselor: Definition to come...
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About NPI 1417089780
Jennifer Carlsen, MS's National Provider Identifier is 1417089780, issued on Mar 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Jul 9, 2010.