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NPI Code Detail

MEDICARE: MISS ROSANNA KARMOEDDIEN LADC, LPCC

MEDICARE: MISS ROSANNA KARMOEDDIEN LADC, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3688MN
2101YA0400XAddiction (Substance Use Disorder) Counselor305522MN

General Provider Information

NPI Number : 1528619244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ROSANNA KARMOEDDIEN LADC, LPCC
Provider Business Mailing Address
First Line : 445 MINNESOTA ST STE 1500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-2269
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 445 MINNESOTA ST STE 1500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-2269
Country : US
Telephone Number : 952-228-7087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2019
Last Update Date : 05/08/2026

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