Individual
DUANE M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303030
MN
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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