DR. Ricky V Carlson, LPC, NCC, CEAP
NPI #1518259639 in New Prague, Minnesota
Provider Information
- NPI Number
- 1518259639
- Entity Type
- Individual
- Name
- DR. Ricky V Carlson, LPC, NCC, CEAP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, NCC, CEAP
- Enumeration Date
- May 8, 2011
- Last Updated
- May 8, 2011
Practice Location
- Address
- 801 ECLIPSE PKWY
- City
- New Prague
- State
- Minnesota
- ZIP Code
- 56071-2014
- Phone
- (612) 998-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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