Organization
MCCORMACK BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY MCCORMACK MPS, LPCC, LADC (PSYCHOTHERAPIST)
(612) 280-9541
Entity
Organization
Contact information
Practice address
12775 SWALLOW ST NW, COON RAPIDS, MN 55448-2587
(612) 280-9541
Mailing address
PO BOX 43, ANOKA, MN 55303-0043
(612) 280-9541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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