Mccormack, Carly Cristine

Mccormack, Carly Cristine is an individual health care provider with primary practice located at 1250 Moore Lake Dr E Ste 152 , Fridley MN 55432-5135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mccormack, Carly Cristine can be contacted via phone (612) 389-2332.

Contact Information

Primary practice address
1250 Moore Lake Dr E Ste 152 Fridley MN 55432-5135
Phone: (612) 389-2332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305956 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 3936 Minnesota

Profile Details

NPI number 1700478625
LBN Legal business name Mccormack, Carly Cristine
Credentials LADC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Jul 3rd, 2023 - about last year

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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