Organization
GREAT NORTH COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY CARROLL LADC, LPCC (BUSINESS OWNER, PRIMARY CLINICIAN)
(218) 214-6096
Entity
Organization
Contact information
Practice address
310 4TH AVE S, STE 5010 PMB 91823, MINNEAPOLIS, MN 55415-1053
(218) 214-6096
(888) 972-3614
Mailing address
310 4TH AVE S, STE 5010 PMB 91823, MINNEAPOLIS, MN 55415-1053
(218) 214-6096
(888) 972-3614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304598
MN
101YP2500X
Professional Counselor
Primary
1892
MN
Other
Enumeration date
11/04/2016
Last updated
08/29/2022
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