BROOKE CARLSON NPI 1366096356

NPI Information

NPI: 1366096356
Provider Name: BROOKE CARLSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
600 TWELVE OAKS CENTER DR STE 662
WAYZATA, MN
ZIP 55391
Phone: (585) 478-0268
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Brooke Carlson is a professional counselor in Wayzata, MN. Brooke Carlson NPI is 1366096356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 TWELVE OAKS CENTER DR STE 662
WAYZATA, MN
ZIP 55391-525
Phone: (585) 478-0268

The enumeration date for this NPI number is 7/28/2019 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			MINNESOTA	No
2	101YP2500X	Counselor	Professional	CC02979	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	390200000X	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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