Individual
DR. AMY CARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP, LADC
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-9989
Mailing address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301529
MN
103T00000X
Psychologist
Primary
6587
MN
103T00000X
Psychologist
—
MN
Other
Enumeration date
04/15/2014
Last updated
04/13/2023
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