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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700478625

Carly Cristine McCormack, LADC, LPCC is an Addiction (Substance Use Disorder) Counselor in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
3
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

7401 Metro Blvd Ste 250
Edina, MN 55439-3062
Phone: (612) 268-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3936 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305956 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 3936 (MN)

Record details

NPI number1700478625
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC , LPCC
Sole proprietorNo
NPI enumeratedFebruary 11, 2021
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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