Individual
DR. CHRISTOPHER MICHAEL SUSAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.C.C.
Contact information
Practice address
2175 HIGHLAND PKWY, SAINT PAUL, MN 55116-1314
(651) 788-0538
Mailing address
2175 HIGHLAND PKWY, SAINT PAUL, MN 55116-1314
(651) 788-0538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC000182
MN
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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