Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN GORDON CARLSON, LPCC, LADC
Active Sole ProprietorKEVIN GORDON CARLSON, LPCC, LADC is a Professional Counselor healthcare provider located in FRIDLEY, Minnesota. NPI 1205647740 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FRIDLEY, MN
Registration Details
- NPI Number
- 1205647740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2025 (1.5515281796871 yrs)
- Last Updated
- Feb 3, 2025
- Licenses
-
305394 (MN)4790 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 OSBORNE RD NE STE 120FRIDLEY, MN, 554322718Browse MN providers · Browse ZIP 55432
- Phone
- 7632364300
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. VICKI DELORES LANGEMO | M.A.,LPC | 1730230350 |
| FEISAL MOHAMED ELMI | — | 1841425741 |
| REBECCA LEA MOLSTAD SHELDON | MA, LPCC | 1861711319 |
| JULIE SABIN | M.A, LPCC, RPT-S | 1972949097 |
| NICOLE WHITE | MA, LPCC | 1346677937 |
| MARIT WATERS | — | 1285017426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.