Individual provider · Type 1 NPI
Greta Carson, LPCC
Professional Counselor · Penasco, NM
NPI number
1750796058
Active
Practice location
15 School Road
Penasco, NM 87553
Mailing address
PO Box 1473
Ranchos De Taos, NM 87557-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 136721 (NM) |
| School Counselor | 101YS0200X | 304196 (NM) |
Professional Counselor: Definition to come...
About NPI 1750796058
Greta Carson, LPCC's National Provider Identifier is 1750796058, issued on Jun 25, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Penasco, NM. The record was last updated on Sep 29, 2015.