KRISTA DIANE CARLESON

MENLO PARK, CA
NPI1902953318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  22793)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- KRISTA DIANE CARLESON LCSW
1220 UNIVERSITY DR
MENLO PARK, CA 94025-4262
Phone number: 650-773-4355
Mailing Address
-- KRISTA DIANE CARLESON LCSW
PO BOX 1396
MENLO PARK, CA 94026-1396
Phone number: 650-773-4355