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CAROLYN CARLSON M.ED., LADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1568521235

Individual Registrant:
 CAROLYN  CARLSON M.ED., LADC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
149 W CORNWALL RD  SHARON, CT 06069-2105 US
Tel: 860-672-6689  Fax: 860-672-3021

Contact information for business:
38 OLD RIDGEBURY RD  DANBURY, CT 06810-5128 US
Tel: 203-792-4515  Fax: 203-748-2604

Registration Information:
NPI: 1568521235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CT000052

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004257516CT05




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