Provider Demographics
NPI:1457799827
Name:CARLOS, WILLIAM JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:CARLOS
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CANNES CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2215
Mailing Address - Country:US
Mailing Address - Phone:201-310-0513
Mailing Address - Fax:
Practice Address - Street 1:319 CANNES CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-2215
Practice Address - Country:US
Practice Address - Phone:201-310-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00024900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional