Individual
ASHLEY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
105 6TH AVE S, PRINCETON, MN 55371-1819
(763) 308-0006
(763) 631-0339
Mailing address
204 1ST ST NW, ELK RIVER, MN 55330
(320) 237-4999
(763) 631-0339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304770
MN
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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