Individual provider · Type 1 NPI

Heather Elizabeth Carlson

Mental Health Counselor · Jamestown, NY

NPI number 1619498482 Active

Practice location

200 E 3rd St
Jamestown, NY 14701-5433

Fax (716) 661-8364

Mailing address

2 Academy St
Mayville, NY 14757-1033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X107469-01 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1619498482

Heather Elizabeth Carlson's National Provider Identifier is 1619498482, issued on Jul 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamestown, NY. The record was last updated on Nov 22, 2019.