Most Relevant Information
Provider Data
NPI Number: | 1003532367 |
Provider Name: | CARMODY ALICE SIME LPCC, LADC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/18/2022 |
Last Updated: | 10/18/2022 |
Provider Practice Location
701 PARK AVE
MINNEAPOLIS
MN
554151623
Practice Location Phone/Fax
Phone: | 6124322008 |
Fax: |
Provider Mailing Location
567 AMUR CIR NW
SAINT MICHAEL
MN
553761100
Provider Mailing Phone/Fax
Phone: | 6124322008 |
Fax: |