National Provider Identifier
Carol B Carlson, LMHC
Carol B Carlson, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 466-0545.
Profile Overview
- NPI
- 1922513639
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 05, 2017
- Last Updated
- January 11, 2024
Practice Location
- 490 Cross Keys Office Park
- Fairport, NY 14450-3506
Phone: (585) 466-0545
Mailing Address
- 2698 Baird RD
- Fairport, NY 14450-1224
Specialties
- Mental Health Counselor (101YM0800X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1922513639
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Carol
- Middle Name
- B
- Credential
- LMHC
- Mailing Street Address
- 2698 Baird RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1224
- Mailing Country
- US
- Mailing Phone
- (585) 466-0545
- Practice Street Address
- 490 Cross Keys Office Park
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3506
- Practice Country
- US
- Practice Phone
- (585) 466-0545
- Enumeration Date
- December 05, 2017
- Last Updated
- January 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X)