Individual
CARISSA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(763) 522-1450
Mailing address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(763) 522-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6265
MN
Other
Enumeration date
08/16/2016
Last updated
05/07/2019
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