Individual
ANDREW CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4100 BERKSHIRE LN N STE 250, PLYMOUTH, MN 55446-3813
(612) 223-8898
(833) 972-0904
Mailing address
1601 4TH AVE S, BUFFALO, MN 55313-1283
(763) 245-2576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
4464
MN
Other
Enumeration date
12/09/2020
Last updated
11/13/2024
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