Individual provider · Type 1 NPI
Sara Carlson, LPC
Professional Counselor · White Bear Lake, MN
NPI number
1982263679
Active
Practice location
4858 Banning Ave Ste 4
White Bear Lake, MN 55110-2870
Mailing address
12315 Zumbrota Cir NE Unit D
Blaine, MN 55449-5793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1982263679
Sara Carlson, LPC's National Provider Identifier is 1982263679, issued on Jun 6, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White Bear Lake, MN. The record was last updated on Jun 6, 2019.