Kevin Gordon Carlson, LPCC, LADC

NPI #1205647740 in Fridley, Minnesota

Provider Information

NPI Number
1205647740
Entity Type
Individual
Name
Kevin Gordon Carlson, LPCC, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPCC, LADC
Enumeration Date
Jan 15, 2025
Last Updated
Feb 3, 2025

Practice Location

Address
520 OSBORNE RD NE STE 120
ZIP Code
55432-2718
Phone
(763) 236-4300

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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