Provider Information for 1316267156
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CHARLOTTE ROSE CARLSON LCPC
Sex: Female
NPI: 1316267156
Last Updated: 2024-05-07
Certification Date: 2024-05-07
Certification Date: 2024-05-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316267156 | ||||||||||||
| Enumeration Date | 2010-06-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 110 SIDNEY, MT 59270-0110 United States Phone: 406-643-4095 | Fax: | ||||||||||||
| Primary Practice Address | 1405 4TH ST SW STE 7 SIDNEY, MT 59270-3515 United States Phone: 406-643-9045 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 360 COLLEGE MEADOWS DR | ||||||||||||
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