Individual
EMY LOU CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC20233
SD
101YP2500X
Professional Counselor
Primary
2790
MN
Other
Enumeration date
11/20/2017
Last updated
08/13/2024
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