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NPI Code Detail

MEDICARE: BRITTNI CARLSON LADC, LPCC

MEDICARE: BRITTNI CARLSON 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
1101YM0800XMental Health CounselorCC044408MN
2101YA0400XAddiction (Substance Use Disorder) Counselor306259MN

General Provider Information

NPI Number : 1689313488
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNI CARLSON LADC, LPCC
Provider Business Mailing Address
First Line : 4627 4TH ST NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-2244
Country : US
Telephone Number : 612-483-1599
Fax Number :
Provider Business Practice Location Address
First Line : 5346 LYNDALE AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55419-1230
Country : US
Telephone Number : 651-262-1416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2022
Last Update Date : 11/05/2025

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