Niles, Carrie Renee
Niles, Carrie Renee is an individual health care provider with primary practice located at 20 Lake St N Ste 103 , Forest Lake MN 55025-2510. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Niles, Carrie Renee can be contacted via phone (651) 464-3685.Contact Information
Primary practice address
20 Lake St N Ste 103
Forest Lake MN 55025-2510
Phone: (651) 464-3685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1700350006 |
|---|---|
| LBN Legal business name | Niles, Carrie Renee |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2019 |
| Last updated | Jan 20th, 2019 - about 6 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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