person
Beau Carlson
Mental Health Counselor in Columbus, Ohio
NPI 1750627436

Beau Carlson is a Mental Health Counselor based in Columbus, OH and is specialized in Mental Health. Beau Carlson practices in Columbus, OH. The NPI Number for Beau Carlson is 1750627436 and holds a License No. C.1000509 (Ohio).

The current practice location address for Beau Carlson is 399 E Main St, Columbus, OH and can be reached out via phone at 614-355-8550 and via fax at 614-355-8593.

Location: 399 E Main St, Columbus, OH, 43271-5194
person
Provider Profile Details
NPI Number
1750627436
Provider Name
Beau Carlson
Credential
Provider Entity Type
Individual
Gender
Male
Address
399 E Main St, Columbus, OH, 43271-5194
Phone Number
614-355-8550
Fax Number
614-355-8593
Provider Enumeration Date
12/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0204874 05 OH
2846675 05 OH
institution
Provider Business Practice Location Address Details
Address
399 E Main St
City
State
Zip
43215-5384
Phone Number
614-355-8550
Fax Number
614-355-8593
person
Provider Business Mailing Address Details
Address
399 E Main St
City
State
Zip
43215-5384
Phone Number
614-355-8550
Fax Number
614-355-8593
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C.1000509 (Ohio)
Definition
Definition to come...
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