Individual
DR. RICKY V CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CEAP
Contact information
Practice address
801 ECLIPSE PKWY, NEW PRAGUE, MN 56071-2014
(612) 998-6616
Mailing address
801 ECLIPSE PKWY, NEW PRAGUE, MN 56071-2014
(612) 998-6616
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
830
MN
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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