Malarie Carlson, LAPC
Individual provider Active NPI Professional Counselor · Grand Forks, ND
NPI 1972038206 · NPPES record last updated Apr 24, 2017
Key facts
- NPI
- 1972038206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 868-4-1-16A (ND)
- Practice address
- 211 S 4TH St
Grand Forks, ND 58201-4737 - Phone
- (701) 746-0405
- Fax
- (701) 746-5918
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Violence Intervention Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 868-4-1-16A | ND | Yes |
Addresses
Primary practice location
211 S 4TH St
Grand Forks, ND 58201-4737
Mailing address
211 S 4TH St
Grand Forks, ND 58201-4737
Phone (701) 746-0405
Other names
- Malarie Deslauriers
Other providers in Grand Forks, ND
- Colleen Carlson
- Gregory Don Carlson
- Kayla Carlson
- Kenneth M Carlson
- Laura Jane Carlson
- Marnie Carlson
- Shanda Carlson
- Carol Torgerson Counseling
- Jenna Carpenter
- Sandra Diane Carr
All providers in Grand Forks, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2017. 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.