Individual
LIZA CAROL CHIGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-7374
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(866) 603-0016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305880
MN
101YM0800X
Mental Health Counselor
3856
MN
101YP2500X
Professional Counselor
Primary
3856
MN
Other
Enumeration date
04/17/2023
Last updated
11/15/2023
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