Nelson, Carolynn M

Nelson, Carolynn M is an sole proprietor health care provider with primary practice located at 20 Lake St N Ste 210 , Forest Lake MN 55025-2511. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nelson, Carolynn M can be contacted via phone (612) 672-1502.

Contact Information

Primary practice address
20 Lake St N Ste 210 Forest Lake MN 55025-2511
Phone: (612) 672-1502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304687 Minnesota

Profile Details

NPI number 1124690060
LBN Legal business name Nelson, Carolynn M
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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