Individual
MATTHEW CHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 243-2292
Mailing address
771 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 243-2292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05358
MN
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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