person
Mr. Jordan David Carlson, LPC
Mental Health Counselor in Bolingbrook, Illinois
NPI 1750689337

Jordan David Carlson is a Mental Health Counselor based in Bolingbrook, IL and is specialized in Mental Health. Jordan David Carlson practices in Bolingbrook, IL and has the professional credentials of LPC. The NPI Number for Jordan David Carlson is 1750689337 and holds a License No. 178.007206 (Illinois).

The current practice location address for Jordan David 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
1750689337
Provider Name
Jordan David Carlson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
682 W Boughton Rd, Bolingbrook, IL, 60440-5700
Phone Number
630-771-0144
Fax Number
630-771-9520
Provider Enumeration Date
03/07/2011
Last Update Date
03/09/2024
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.
178.007206 (Illinois)
Definition
Definition to come...
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