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Individual
CARRIE WELLER
Active
Individual
CARRIE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC/LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304302
MN
101YP2500X
Professional Counselor
Primary
CC01795
MN
Other
Enumeration date
07/08/2019
Last updated
08/11/2026
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