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Jonathan R Carlson
Mental Health Counselor in Warsaw, New York
NPI 1326534603

Jonathan R Carlson is a Mental Health Counselor based in Orchard Park, NY and is specialized in Mental Health. Jonathan R Carlson practices in Warsaw, NY. The NPI Number for Jonathan R Carlson is 1326534603 and holds a License No. 11932 (New York).

The current practice location address for Jonathan R Carlson is 34 N Main St, Warsaw, NY and can be reached out via phone at 585-786-0220 and via fax at 585-786-3631.

Location: 34 N Main St, Warsaw, NY, 14127-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326534603
Provider Name
Jonathan R Carlson
Credential
Provider Entity Type
Individual
Gender
Male
Address
34 N Main St, Warsaw, NY, 14127-2600
Phone Number
585-786-0220
Fax Number
585-786-3631
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 N Main St
City
Warsaw
State
New York
Zip
14569-1326
Phone Number
585-786-0220
Fax Number
585-786-3631
person
Provider Business Mailing Address Details
Address
34 N Main St
City
Warsaw
State
New York
Zip
14569-1326
Phone Number
585-786-0220
Fax Number
585-786-3631
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11932 (New York)
Definition
Definition to come...
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