Individual provider · Type 1 NPI

Stanley E. Carlson, MDIV, LMHP, CPC, LADC

Mental Health Counselor · Fremont, NE

NPI number 1659381507 Active

Practice location

230 E 22nd St, Suite #3
Fremont, NE 68025-2661

Call (402) 721-8805 Map

Fax (412) 727-4839

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X683 (NE)
Mental Health Counselor 101YM0800X2105 (NE)
Professional Counselor 101YP2500X1200 (NE)
Mental Health Counselor Primary 101YM0800X18 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1659381507

Stanley E. Carlson, MDIV, LMHP, CPC, LADC's National Provider Identifier is 1659381507, issued on Aug 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, NE. The record was last updated on Jun 9, 2021.