person
Sandra Elizabeth Carlson, EDDLCPC,RN
Mental Health Counselor in Bolingbrook, Illinois
NPI 1376612168

Sandra Elizabeth Carlson is a Mental Health Counselor based in Bolingbrook, IL and is specialized in Mental Health. Sandra Elizabeth Carlson practices in Bolingbrook, IL and has the professional credentials of EDDLCPC,RN. The NPI Number for Sandra Elizabeth Carlson is 1376612168 and holds a License No. 180 001650 (Illinois).

The current practice location address for Sandra Elizabeth Carlson is 682 W Boughton Rd, Bolingbrook, IL and can be reached out via phone at 630-771-0144 and via fax at 630-771-9520.

Location: 682 W Boughton Rd, Bolingbrook, IL, 60440-5700
person
Provider Profile Details
NPI Number
1376612168
Provider Name
Sandra Elizabeth Carlson
Credential
EDDLCPC,RN
Provider Entity Type
Individual
Gender
Female
Address
682 W Boughton Rd, Bolingbrook, IL, 60440-5700
Phone Number
630-771-0144
Fax Number
630-771-9520
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09932036 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
682 W Boughton Rd
City
State
Zip
60440-5700
Phone Number
630-771-0144
Fax Number
630-771-9520
person
Provider Business Mailing Address Details
Address
682 W Boughton Rd
City
State
Zip
60440-5700
Phone Number
630-771-0144
Fax Number
630-771-9520
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180 001650 (Illinois)
Definition
Definition to come...
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