Carlson, Stacy Marie

Carlson, Stacy Marie is an sole proprietor health care provider with primary practice located at 322 Dewitt St , Portage WI 53901-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Stacy Marie can be contacted via phone (608) 280-2700.

Contact Information

Primary practice address
322 Dewitt St Portage WI 53901-2114
Phone: (608) 280-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3232 Wisconsin

Profile Details

NPI number 1659890416
LBN Legal business name Carlson, Stacy Marie
Credentials MS, CRC, LPC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2017
Last updated Sep 13th, 2017 - about 9 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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