ERIC CARLSON

SAN DIEGO, CA
NPI1467814202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-22
Last Update Date2017-02-28
Business Address
-- ERIC CARLSON
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-275-1453
Mailing Address
-- ERIC CARLSON
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-275-1453