Individual
CARMELITA REGINA PRIVATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
907-7-15-17
ND
101YP2500X
Professional Counselor
Primary
1148
MN
Other
Enumeration date
08/15/2012
Last updated
09/26/2019
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