Lynnette Carlson
Pastoral Counselor
1319 W Bloomfield Rd
Bloomington
, Indiana 47403-2000
Lynnette Carlson
Pastoral Counselor
1319 W Bloomfield Rd
Bloomington
, Indiana 47403-2000
(812) 353-6137
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Lynnette Carlson
- 1319 W Bloomfield Rd
- Bloomington, IN
- Zip : 47403-2000
- Fax : (812) 353-6137
- Phone : (812) 331-1235
Second Address
- Lynnette Carlson
- 1319 W Bloomfield Rd
- Bloomington, IN
- Zip : 47403-2000
- Fax : (812) 353-6137
- Phone : (812) 331-1235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | 39000586A | IN |
National Provider Identifier
| NPI | 1235456146 |
|---|---|
| Provider Name | Lynnette Carlson |
| First Address | Bloomington, IN 47403-2000 |
| Second Address | Bloomington, IN 47403-2000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000545373 | ANTHEM NON-PAR PIN NUMBER (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.