| Carlson Counseling Services | |
|
230 E 22nd St Suite 3 Fremont NE 68025-2661 | |
| (402) 721-8805 | |
| (402) 727-4839 |
| Full Name | Carlson Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 230 E 22nd St, Fremont, Nebraska |
| Authorized Official Name and Position | Stanley E Carlson (PROVIDER / OWNER) |
| Authorized Official Contact | 4027218805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlson Counseling Services 230 E 22nd St Suite 3 Fremont NE 68025-2661 Ph: (402) 721-8805 | Carlson Counseling Services 230 E 22nd St Suite 3 Fremont NE 68025-2661 Ph: (402) 721-8805 |
| NPI Number | 1073975249 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073975249 | NPI | - | NPPES |
| 10025637500 | Medicaid | NE | |
| 10025820000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 683 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 18 (Nebraska) | Primary |
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