Daren Eugene Carlson, MA, LMFT | |
207 Jefferson Blvd, Big Lake, MN 55309-4667 | |
(763) 367-6080 | |
Not Available |
Full Name | Daren Eugene Carlson |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 207 Jefferson Blvd, Big Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710408398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 2990 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Daren Eugene Carlson, MA, LMFT 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: () - | Daren Eugene Carlson, MA, LMFT 207 Jefferson Blvd, Big Lake, MN 55309-4667 Ph: (763) 367-6080 |
Kelly Ann Salzl, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake St S, Big Lake, MN 55309 Phone: 763-263-7896 | |
Joanne Marie Harste, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20083 226th Ave Nw, Big Lake, MN 55309 Phone: 651-353-5453 | |
Daniel Lloyd Miller, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897 | |
Robert D Wark, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897 | |
Jodi Leigh Donnay, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake St S, Big Lake, MN 55309 Phone: 763-263-7896 Fax: 763-263-7897 | |
Jennifer Ann Lawrence, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake Street South #200, Big Lake, MN 55309 Phone: 763-263-7896 Fax: 763-263-7897 | |
Courtney Jessen, MA LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897 |