National Provider Identifier
Jonathan R Carlson
Jonathan R Carlson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Warsaw, NY and a listed phone number of (585) 786-0220.
Profile Overview
- NPI
- 1326534603
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 10, 2018
- Last Updated
- April 07, 2022
Practice Location
- 34 N Main St
- Warsaw, NY 14569-1326
Phone: (585) 786-0220
Mailing Address
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1326534603
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Jonathan
- Middle Name
- R
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Practice Street Address
- 34 N Main St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1326
- Practice Country
- US
- Practice Phone
- (585) 786-0220
- Practice Fax
- (585) 786-3631
- Enumeration Date
- July 10, 2018
- Last Updated
- April 07, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)