Most Relevant Information
Provider Data
| NPI Number: | 1003455478 |
| Provider Name: | AMY LOU CARLSON NCC, LPC, CSATP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2015040235 |
Most Important Dates
| Enumeration Date: | 01/02/2020 |
| Last Updated: | 01/02/2020 |
Provider Practice Location
10031 NW 71ST TER
PARKVILLE
MO
641522460
Practice Location Phone/Fax
| Phone: | 8166066819 |
| Fax: |
Provider Mailing Location
10031 NW 71ST TER
PARKVILLE
MO
641522460
Provider Mailing Phone/Fax
| Phone: | 8166066819 |
| Fax: |