Individual
CARLY GERSHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
453
MN
101YP2500X
Professional Counselor
453
MN
Other
Enumeration date
03/02/2012
Last updated
10/03/2024
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