CARL CARLSON

OAKLAND, CA
NPI1912362278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-30
Last Update Date2015-12-30
Business Address
Mr. CARL CARLSON
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
Mailing Address
Mr. CARL CARLSON
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800