Individual
CHARLOTTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5869
(763) 307-2155
Mailing address
299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5869
(763) 307-2155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC05088
MN
Other
Enumeration date
01/23/2025
Last updated
07/25/2025
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