Carolyn Carlson, QMHA

NPI #1194191742 in Burns, Oregon

Provider Information

NPI Number: 1194191742
Entity Type: Individual
Name: Carolyn Carlson, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: QMHA
Enumeration Date: Aug 18, 2015
Last Updated: Aug 18, 2015

Practice Location

Address: 348 W ADAMS ST
City: Burns
State: Oregon
ZIP Code: 97720-1710
Phone: (541) 573-1780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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