Carson, Nicole

Carson, Nicole is an sole proprietor health care provider with primary practice located at 12821 Newport Ave , Tustin CA 92780. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Carson, Nicole can be contacted via phone (657) 333-5805.

Contact Information

Primary practice address
12821 Newport Ave Tustin CA 92780
Phone: (657) 333-5805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 180236458 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 98765 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 99765 California

Profile Details

NPI number 1760909493
LBN Legal business name Carson, Nicole
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2017
Last updated Dec 18th, 2018 - about 6 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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