Individual
NANCY E CARRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
819 30TH AVE S, MOORHEAD, MN 56560-5000
(651) 313-8080
Mailing address
1900 SILVER LAKE RD NW # 100, NEW BRIGHTON, MN 55112-1786
(612) 464-6671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
101YP2500X
Professional Counselor
Primary
05452
MN
Other
Enumeration date
07/28/2022
Last updated
05/06/2026
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