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Individual

MS. CARLYSS ANN KURTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LPCC

Contact information

Practice address
8263 53RD AVE, MYLO, ND 58353-9431
(701) 550-0105
Mailing address
8263 53RD AVE, MYLO, ND 58353-9431
(701) 550-0105

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
201995
AK
101YP2500X
Professional Counselor
Primary
619-11-1-08-223
ND
101YP2500X
Professional Counselor
CC00992
MN

Other

Enumeration date
04/13/2017
Last updated
08/10/2025
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