Stacy Marie Carlson, MS, CRC, LPC-IT Valid NPI

Individual provider · Professional Counselor · Portage, WI

NPI

1659890416

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

3232 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-09-13

Last updated

2017-09-13