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Stacy Mae Carlson
Addiction (Substance Use Disorder) Counselor in Thief River Falls, Minnesota
NPI 1417446824

Stacy Mae Carlson is an Addiction (Substance Use Disorder) Counselor based in Thief River Falls, MN and is specialized in Addiction (Substance Use Disorder). Stacy Mae Carlson practices in Thief River Falls, MN. The NPI Number for Stacy Mae Carlson is 1417446824 and holds a License No. 304338 (Minnesota).

The current practice location address for Stacy Mae Carlson is 120 Labree Ave S, Thief River Falls, MN and can be reached out via phone at 218-683-4318 and via fax at 218-683-4515.

Location: 120 Labree Ave S, Thief River Falls, MN, 56701-2819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417446824
Provider Name
Stacy Mae Carlson
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Labree Ave S, Thief River Falls, MN, 56701-2819
Phone Number
218-683-4318
Fax Number
218-683-4515
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Labree Ave S
City
Thief River Falls
State
Minnesota
Zip
56701-2819
Phone Number
218-683-4318
Fax Number
218-683-4515
person
Provider Business Mailing Address Details
Address
120 Labree Ave S
City
Thief River Falls
State
Minnesota
Zip
56701-2819
Phone Number
218-683-4318
Fax Number
218-683-4515
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
304338 (Minnesota)
Definition
Definition to come...
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