Individual provider · Type 1 NPI

Jordan David Carlson, LPC

Mental Health Counselor · Bolingbrook, IL

NPI number 1750689337 Active

Practice location

682 W Boughton Rd, Unit D
Bolingbrook, IL 60440-5700

Fax (630) 771-9520

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.007206 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1750689337

Jordan David Carlson, LPC's National Provider Identifier is 1750689337, issued on Mar 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bolingbrook, IL. The record was last updated on Mar 7, 2011.