Carlson, Heather Lynn

Carlson, Heather Lynn is an individual health care provider with primary practice located at 121 W Main St , Port Washington WI 53074-1813. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Heather Lynn can be contacted via phone (262) 284-8229.

Contact Information

Primary practice address
121 W Main St Port Washington WI 53074-1813
Fax: (262) 284-8104
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3765-125 Wisconsin

Profile Details

NPI number 1093247561
LBN Legal business name Carlson, Heather Lynn
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 7 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.

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