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General NPI Number Information
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NPI Number | 1215596440
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Entity Type | Individual
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Provider Name | KARLA CAREY LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 400 S 2ND ST STE 125
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City | PRINCETON
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State | MN
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Zip | 55371-1878
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Country | US
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Telephone | 612-787-2212
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Fax | 763-856-3329
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Provider Business Mailing Address
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Address Line | 400 S 2ND ST STE 125
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City | PRINCETON
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State | MN
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Zip | 55371-1878
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Country | US
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Telephone | 127-872-2126
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Fax | 763-856-3329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC02141
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License Number State | MN
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