Individual provider · Type 1 NPI

Cody Lee Carlson, LPC

Professional Counselor · Idaho Falls, ID

NPI number 1790262871 Active

Practice location

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902

Call (208) 524-7400 Map

Mailing address

4730 Davis Cir
Iona, ID 83427-5501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1790262871

Cody Lee Carlson, LPC's National Provider Identifier is 1790262871, issued on Jul 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 23, 2018.