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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205647740

Kevin Gordon Carlson, LPCC, LADC is an Addiction (Substance Use Disorder) Counselor in Fridley, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

520 Osborne Rd NE Ste 120
Fridley, MN 55432-2718
Phone: (763) 236-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4790 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305394 (MN)

Record details

NPI number1205647740
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , LADC
Sole proprietorYes
NPI enumeratedJanuary 15, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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