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Individual
CARRIE LOIS MAIN
Active
Individual
CARRIE LOIS MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, LADC, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304951
MN
101YP2500X
Professional Counselor
Primary
2512
MN
Other
Enumeration date
07/27/2020
Last updated
10/26/2023
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