SPENCER CARLSON
NPI 1306468186
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since May 14, 2020
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901(415) 459-5999 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spencer Carlson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER CARLSON (NPI 1306468186) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1306468186
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER CARLSON
Location Address1330 LINCOLN AVE STE 201San Rafael, CA 94901-2142
Mailing Address2430 Bush StSan Francisco, CA 94115-3106 · (646) 831-7140
Sole ProprietorYes
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1306468186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1330 LINCOLN AVE STE 201, San Rafael, CA 94901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1330 LINCOLN AVE STE 201, COMMUNITY INSTITUTE FOR PSYCHOTHERAPY
SAN RAFAEL, CA 94901
Counselor
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306468186, enumerated as an "individual" on May 14, 2020.

The provider is located at 1330 LINCOLN AVE STE 201 SAN RAFAEL, CA 94901 and the phone number is (415) 459-5999.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.