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Individual

CARLA MARIE MCKEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LMFT, LADC

Contact information

Practice address
6230 10TH ST N STE 220, OAKDALE, MN 55128-6160
(651) 755-4276
(888) 972-5307
Mailing address
PO BOX 974, LINDSTROM, MN 55045-0974
(651) 755-4276
(888) 972-5307

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302991
MN
101YM0800X
Mental Health Counselor
Primary
106H00000X
Marriage & Family Therapist
2626
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134422595
MN
05
1174955397
MN
Enumeration date
12/07/2010
Last updated
09/19/2025
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