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Contact Information

CHAMPION MENTAL HEALTH & DRUG ADDICTION SERVICES
7320 74TH WAY N
MINNEAPOLIS, MN55428-1254
 Phone: 612-599-2901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for CHAMPION MENTAL HEALTH DRUG ADDICTION SERVICES · (Female)

NPI # 1386383354
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2022
Last updated 05/30/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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