Individual
CARRIE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC/LADC
Contact information
Practice address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(651) 647-1900
Mailing address
945 17TH ST, NEWPORT, MN 55055-1609
(651) 468-4350
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
08/23/2024
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