SearchMinnesota101YP2500X

Kevin Carlson, LPCC, LADC

NPI 1205647740 · on the registry since 2025 · sole proprietor

Practice

Address
520 Osborne Rd Ne Ste 120
Fridley, MN 55432
Phone
(763) 236-4300
Organisation at this address
Allina Health System
Allina Health System
Phs Interlude Fridley Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota