Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Carlson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366096356

Brooke Carlson is a Student in an Organized Health Care Education/Training Program in Wayzata, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

600 Twelve Oaks Center Dr Ste 662
Wayzata, MN 55391-4525
Phone: (585) 478-0268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC02979 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)

Record details

NPI number1366096356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address13784 Candice Ln, Eden Prairie, MN 55346-3059

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