Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Marie Carlson, MS, CRC, LPC-IT

Individual provider Professional Counselor · NPI 1659890416

Stacy Marie Carlson, MS, CRC, LPC-IT is a Professional Counselor in Portage, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

322 Dewitt St
Portage, WI 53901-2114
Phone: (608) 280-2700
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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 3232 (WI)

Record details

NPI number1659890416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CRC , LPC-IT
Sole proprietorYes
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 13, 2017

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