Individual
ROBERT HERBERT SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 EXCELSIOR BLVD STE 203, ST LOUIS PARK, MN 55416-2734
(952) 548-9340
(952) 548-9350
Mailing address
6200 EXCELSIOR BLVD STE 204, MINNEAPOLIS, MN 55416-2734
(952) 548-9340
(952) 548-9350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301693
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LADC
LADC
MN
Enumeration date
01/15/2019
Last updated
01/15/2019
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