Individual
ROBERT CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
22355 ALBATROSS CIR, FARMINGTON, MN 55024-9537
(651) 463-2608
Mailing address
2042 WOODDALE DR STE 220, WOODBURY, MN 55125-4421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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