Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Carole (Nickey) Galush Larson, PSYDLP, LMFTLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538202890

Dr. Carole (Nickey) Galush Larson, PSYDLP, LMFTLADC is an Addiction (Substance Use Disorder) Counselor in Edina, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

7400 Metro Blvd Ste 215
Edina, MN 55439-2316
Phone: (952) 929-8432
Fax: (952) 929-8432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1810 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 300756 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 466 (MN)

Record details

NPI number1538202890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYDLP , LMFTLADC
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESNovember 2, 2015

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