Mary Kay Carle, LMFT
Individual provider Active NPI Mental Health Counselor · Saint Cloud, MN
NPI 1154484418 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154484418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LMFT 512 (MN)
- Practice address
- 5821 Michael CT
Saint Cloud, MN 56303-0926 - Phone
- (320) 252-5653
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 512 | MN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT 512 | MN | Yes |
Addresses
Primary practice location
5821 Michael CT
Saint Cloud, MN 56303-0926
Mailing address
5821 Michael CT
Saint Cloud, MN 56303-0926
Phone (320) 252-5653
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- Erin Carlsen
- Ashely Nicole Carlson
- Bethany Carlson
- Brianne Marie Carlson
- Heidi Jean Carlson
All providers in Saint Cloud, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.