Individual
SARA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4858 BANNING AVE STE 4, WHITE BEAR LAKE, MN 55110-2870
(612) 367-6634
Mailing address
12315 ZUMBROTA CIR NE UNIT D, BLAINE, MN 55449-5793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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