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Carly Rae Manderfeld, LGSW
Counselor in St Louis Park, Minnesota
NPI 1962286690

Carly Rae Manderfeld is a Counselor based in Mankato, MN. Carly Rae Manderfeld practices in St Louis Park, MN and has the professional credentials of LGSW. The NPI Number for Carly Rae Manderfeld is 1962286690 and holds a License No. 32524 (Minnesota).

The current practice location address for Carly Rae Manderfeld is 7601 Wayzata Blvd, St Louis Park, MN and can be reached out via phone at 507-217-0049.

Location: 7601 Wayzata Blvd, St Louis Park, MN, 56001-5080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962286690
Provider Name
Carly Rae Manderfeld
Credential
LGSW
Provider Entity Type
Individual
Gender
Female
Address
7601 Wayzata Blvd, St Louis Park, MN, 56001-5080
Phone Number
507-217-0049
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7601 Wayzata Blvd
City
St Louis Park
State
Minnesota
Zip
55426-1623
Phone Number
507-217-0049
Fax Number
person
Provider Business Mailing Address Details
Address
7601 Wayzata Blvd
City
St Louis Park
State
Minnesota
Zip
55426-1623
Phone Number
507-217-0049
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
32524 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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