Provider Demographics
NPI:1215596440
Name:CAREY, KARLA (LPCC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S 2ND ST STE 125
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1878
Mailing Address - Country:US
Mailing Address - Phone:127-872-2126
Mailing Address - Fax:763-856-3329
Practice Address - Street 1:400 S 2ND ST STE 125
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-1878
Practice Address - Country:US
Practice Address - Phone:612-787-2212
Practice Address - Fax:763-856-3329
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC02141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health