National Provider Identifier
Heather Elizabeth Carlson
Heather Elizabeth Carlson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-8330.
Profile Overview
- NPI
- 1619498482
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 03, 2017
- Last Updated
- November 22, 2019
Practice Location
- 200 E 3Rd St
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 2 Academy St
- Mayville, NY 14757-1033
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1619498482
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Heather
- Middle Name
- Elizabeth
- Mailing Street Address
- 2 Academy St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1033
- Mailing Country
- US
- Mailing Phone
- (716) 753-4104
- Mailing Fax
- (716) 753-4230
- Practice Street Address
- 200 E 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Practice Fax
- (716) 661-8364
- Enumeration Date
- July 03, 2017
- Last Updated
- November 22, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)