Individual
SOPHIE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC, LPCC
Contact information
Practice address
3100 KENNARD ST STE 250, MAPLEWOOD, MN 55109-5465
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306416
MN
101YP2500X
Professional Counselor
Primary
5332
MN
Other
Enumeration date
08/10/2022
Last updated
12/18/2025
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