Individual provider · Type 1 NPI

Carrie Lois Main, MPS, LADC, LPCC

Professional Counselor · Woodbury, MN

NPI number 1366051344 Active

Practice location

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741

Call (651) 714-9648 Map

Mailing address

1131 Goodview Ave N
St. Paul, MN 55128-6129

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304951 (MN)
Professional Counselor Primary 101YP2500X2512 (MN)

Professional Counselor: Definition to come...

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About NPI 1366051344

Carrie Lois Main, MPS, LADC, LPCC's National Provider Identifier is 1366051344, issued on Jul 27, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodbury, MN. The record was last updated on Oct 26, 2023.