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Brooke Carlson
Professional Counselor in Wayzata, Minnesota
NPI 1366096356

Brooke Carlson is a Professional Counselor based in Eden Prairie, MN and is specialized in Professional. Brooke Carlson practices in Wayzata, MN. The NPI Number for Brooke Carlson is 1366096356 and holds a License No. (Minnesota).

The current practice location address for Brooke Carlson is 600 Twelve Oaks Center Dr Ste 662, Wayzata, MN and can be reached out via phone at 585-478-0268.

Location: 600 Twelve Oaks Center Dr Ste 662, Wayzata, MN, 55346-3059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366096356
Provider Name
Brooke Carlson
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Twelve Oaks Center Dr Ste 662, Wayzata, MN, 55346-3059
Phone Number
585-478-0268
Fax Number
Provider Enumeration Date
07/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 05 MN
institution
Provider Business Practice Location Address Details
Address
600 Twelve Oaks Center Dr Ste 662
City
Wayzata
State
Minnesota
Zip
55391-4525
Phone Number
585-478-0268
Fax Number
person
Provider Business Mailing Address Details
Address
600 Twelve Oaks Center Dr Ste 662
City
Wayzata
State
Minnesota
Zip
55391-4525
Phone Number
585-478-0268
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CC02979 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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