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Mr. Gary Carlson, REGISTEREDINTERN
Mental Health Counselor in Tampa, Florida
NPI 1508318403

Gary Carlson is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Gary Carlson practices in Tampa, FL and has the professional credentials of REGISTEREDINTERN. The NPI Number for Gary Carlson is 1508318403 and holds a License No. IMH 14421 (Florida).

The current practice location address for Gary Carlson is 10770 N 46Th St, Tampa, FL and can be reached out via phone at 813-631-2588.

Location: 10770 N 46Th St, Tampa, FL, 33617-3442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508318403
Provider Name
Gary Carlson
Credential
REGISTEREDINTERN
Provider Entity Type
Individual
Gender
Male
Address
10770 N 46Th St, Tampa, FL, 33617-3442
Phone Number
813-631-2588
Fax Number
Provider Enumeration Date
10/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IMH 14421 01 FL STATE OF FLORIDA
institution
Provider Business Practice Location Address Details
Address
10770 N 46Th St
City
Tampa
State
Florida
Zip
33617-3442
Phone Number
813-631-2588
Fax Number
person
Provider Business Mailing Address Details
Address
10770 N 46Th St
City
Tampa
State
Florida
Zip
33617-3442
Phone Number
813-631-2588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH 14421 (Florida)
Definition
Definition to come...
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