Stacy Mae Carlson
NPI #1417446824 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1417446824
- Entity Type
- Individual
- Name
- Stacy Mae Carlson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 2, 2018
- Last Updated
- May 2, 2018
Practice Location
- Address
- 120 LABREE AVE S
- State
- Minnesota
- ZIP Code
- 56701-2819
- Phone
- (218) 683-4318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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