| Marcy Carlson, | |
|
6727 Sherman St, Otter Lake, MI 48464-9794 | |
| (810) 793-8957 | |
| (810) 793-2493 |
| Full Name | Marcy Carlson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6727 Sherman St, Otter Lake, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508026238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marcy Carlson, 6727 Sherman St, Otter Lake, MI 48464-9794 Ph: (810) 793-8957 | Marcy Carlson, 6727 Sherman St, Otter Lake, MI 48464-9794 Ph: (810) 793-8957 |
Mr. Dan Fettes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6727 Sherman St, Otter Lake, MI 48464 Phone: 810-793-8957 Fax: 810-793-2493 | |
Laurie Hollister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6727 Sherman St, Otter Lake, MI 48464 Phone: 810-793-8957 |