JORDAN DAVID CARLSON

BOLINGBROOK, IL
NPI1750689337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.007206)
Enumeration Date2011-03-07
Last Update Date2011-03-07
Business Address
Mr. JORDAN DAVID CARLSON LPC
682 W BOUGHTON RD UNIT D
BOLINGBROOK, IL 60440-5700
Phone number: 630-771-0144
Mailing Address
Mr. JORDAN DAVID CARLSON LPC
682 W BOUGHTON RD UNIT D
BOLINGBROOK, IL 60440-5700
Phone number: 630-771-0144
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