Brown, Carol Lee

Brown, Carol Lee is an individual health care provider with primary practice located at 13911 Ridgedale Dr Ste 460 , Minnetonka MN 55305-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Brown, Carol Lee can be contacted via phone (651) 439-2059.

Contact Information

Primary practice address
13911 Ridgedale Dr Ste 460 Minnetonka MN 55305-1777
Fax: (888) 675-8262
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1610 Minnesota

Profile Details

NPI number 1154583334
LBN Legal business name Brown, Carol Lee
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Apr 24th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154583334 NPPES
Minnesota MEDICAID 1154583334

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