Individual provider · Type 1 NPI

Carly Cristine McCormack, LADC, LPCC

Mental Health Counselor · Coon Rapids, MN

NPI number 1700478625 Active

Practice location

12775 Swallow St NW
Coon Rapids, MN 55448-2587

Call (701) 850-7438 Map

Mailing address

PO Box 43
Anoka, MN 55303-0019

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3936 (MN)
Mental Health Counselor Primary 101YM0800X3936 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X305956 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1700478625

Carly Cristine McCormack, LADC, LPCC's National Provider Identifier is 1700478625, issued on Feb 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 2, 2026.