person
Michael John Carlson
Mental Health Counselor in Bloomington, Illinois
NPI 1780723254

Michael John Carlson is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Michael John Carlson practices in Bloomington, IL. The NPI Number for Michael John Carlson is 1780723254 and holds a License No. (Illinois).

The current practice location address for Michael John Carlson is 108 W Market St, Bloomington, IL and can be reached out via phone at 309-827-5351 and via fax at 309-829-6808.

Location: 108 W Market St, Bloomington, IL, 61701-3170
person
Provider Profile Details
NPI Number
1780723254
Provider Name
Michael John Carlson
Credential
Provider Entity Type
Individual
Gender
Male
Address
108 W Market St, Bloomington, IL, 61701-3170
Phone Number
309-827-5351
Fax Number
309-829-6808
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
309-829-6808
person
Provider Business Mailing Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
309-829-6808
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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