Carlson, Walter

Carlson, Walter is an sole proprietor health care provider with primary practice located at 1731 N Marcey St Ste 535 , Chicago IL 60614-7965. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Carlson, Walter can be contacted via phone (312) 280-1166.

Contact Information

Primary practice address
1731 N Marcey St Ste 535 Chicago IL 60614-7965
Phone: (312) 280-1166
Fax: (312) 280-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6409 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180003891 Illinois

Profile Details

NPI number 1841596434
LBN Legal business name Carlson, Walter
Credentials M.ED., CADC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2011
Last updated Jan 31st, 2011 - about 14 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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