Carlson, Carl M.
Carlson, Carl M. is an sole proprietor health care provider with primary practice located at 9 Highland Cir , Chico CA 95926. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carlson, Carl M. can be contacted via phone (530) 949-5313.Contact Information
Primary practice address
9 Highland Cir
Chico CA 95926
Phone: (530) 949-5313
Fax: (530) 892-0488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW 19529 | California |
Profile Details
| NPI number | 1336204080 |
|---|---|
| LBN Legal business name | Carlson, Carl M. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Sep 3rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336204080 | NPPES |
| California | Other | LCS195290 | BLUE SHIELD |
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