Individual provider · Type 1 NPI

Beau Carlson

Mental Health Counselor · Columbus, OH

NPI number 1750627436 Active

Practice location

399 E Main St
Columbus, OH 43215-5384

Call (614) 355-8550 Map

Fax (614) 355-8593

Mailing address

PO Box 715194
Columbus, OH 43271-5194

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1000509 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1750627436

Beau Carlson's National Provider Identifier is 1750627436, issued on Dec 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on Jul 31, 2017.