Individual
MRS. CAROLYN ROSE HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.C.
Contact information
Practice address
1811 WEIR DR, SUITE 270, WOODBURY, MN 55125-2272
(651) 714-9646
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00833
MN
Other
Enumeration date
09/08/2014
Last updated
10/28/2014
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