MATTHEW TODD CARLSON

CHICAGO, IL
NPI1063639474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: IL  178.004268)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Mr. MATTHEW TODD CARLSON LPC
3040 N WILTON AVE 2ND FLOOR
CHICAGO, IL 60657-4424
Phone number: 773-296-7623
Mailing Address
Mr. MATTHEW TODD CARLSON LPC
1459 W WINNEMAC AVE #2
CHICAGO, IL 60640-2816
Phone number: 651-235-3351
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