Individual
CHAD ANDREW TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
9325 UPLAND LN N STE 210, MAPLE GROVE, MN 55369-5777
(612) 915-0049
Mailing address
19591 STATION ST APT 308, BIG LAKE, MN 55309-9436
(612) 242-2519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4297
MN
Other
Enumeration date
07/28/2020
Last updated
04/07/2025
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