Individual
CATHERINE CECILIA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
(763) 295-4001
(763) 295-5086
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303183
MN
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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