Individual provider · Type 1 NPI

Mary L. Carlson, MS, LPC

Professional Counselor · Fort Worth, TX

NPI number 1679021166 Active

Practice location

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746

Mailing address

308 S Friendswood Dr Ste 200
Friendswood, TX 77546-3989

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X79257 (TX)
Professional Counselor Primary 101YP2500X79257 (TX)
Professional Counselor 101YP2500X2014030086 (MO)

Professional Counselor: Definition to come...

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About NPI 1679021166

Mary L. Carlson, MS, LPC's National Provider Identifier is 1679021166, issued on Sep 14, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 17, 2025.