CODY LEE CARLSON

IDAHO FALLS, ID
NPI1790262871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
Enumeration Date2018-07-23
Last Update Date2018-07-23
Business Address
MR. CODY LEE CARLSON LPC
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
MR. CODY LEE CARLSON LPC
4730 DAVIS CIR
IONA, ID 83427-5501
Phone number: 208-709-6360