Individual provider · Type 1 NPI

Kirivon Pen Carlson, LMFT

Marriage & Family Therapist · Grand Rapids, MI

NPI number 1689580276 Active

Practice location

80 Ottawa Ave NW Ste 425
Grand Rapids, MI 49503-2648

Call (616) 920-0022 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X4101007725 (MI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1689580276

Kirivon Pen Carlson, LMFT's National Provider Identifier is 1689580276, issued on Aug 21, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 21, 2026.