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Individual

CHARLES STEVEN SCHUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, LADC

Contact information

Practice address
7117 OHMS LN, EDINA, MN 55439-2142
(763) 577-2489
Mailing address
7117 OHMS LN, EDINA, MN 55439-2142
(763) 577-2489

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304372
MN
101YM0800X
Mental Health Counselor
Primary
2968
MN

Other

Enumeration date
02/10/2021
Last updated
10/05/2021
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