person
Carly Cristine Mccormack, LADC,LPCC
Professional Counselor in Fridley, Minnesota
NPI 1700478625

Carly Cristine Mccormack is a Professional Counselor based in Fridley, MN and is specialized in Professional. Carly Cristine Mccormack practices in Fridley, MN and has the professional credentials of LADC,LPCC. The NPI Number for Carly Cristine Mccormack is 1700478625 and holds a License No. 305956 (Minnesota).

The current practice location address for Carly Cristine Mccormack is 1250 Moore Lake Dr E Ste 152, Fridley, MN and can be reached out via phone at 612-389-2332.

Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN, 55432-5135
person
Provider Profile Details
NPI Number
1700478625
Provider Name
Carly Cristine Mccormack
Credential
LADC,LPCC
Provider Entity Type
Individual
Gender
Female
Address
1250 Moore Lake Dr E Ste 152, Fridley, MN, 55432-5135
Phone Number
612-389-2332
Fax Number
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1250 Moore Lake Dr E Ste 152
City
State
Zip
55432-5135
Phone Number
612-389-2332
Fax Number
person
Provider Business Mailing Address Details
Address
1250 Moore Lake Dr E Ste 152
City
State
Zip
55432-5135
Phone Number
612-389-2332
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3936 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
305956 (Minnesota)
Definition
Definition to come...
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