Carlock-Self, Carla

Carlock-Self, Carla is an individual health care provider with primary practice located at 2323 W Front St , Tyler TX 75702-7704. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carlock-Self, Carla can be contacted via phone (903) 597-1351.

Contact Information

Primary practice address
2323 W Front St Tyler TX 75702-7704
Phone: (903) 597-1351
Fax: (903) 535-7386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16727 Texas

Profile Details

NPI number 1295794394
LBN Legal business name Carlock-Self, Carla
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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