Organization
CHAMPION MENTAL HEALTH & DRUG ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIA CASHMAN (CO OWNER)
(612) 250-0209
Entity
Organization
Contact information
Practice address
7320 74TH WAY N, MINNEAPOLIS, MN 55428-1254
(612) 599-2901
Mailing address
7320 74TH WAY N, MINNEAPOLIS, MN 55428-1254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/30/2022
Last updated
05/30/2022
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