Organization
BUILDING BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SCHUTT (CO-OWNER)
(612) 219-7120
Entity
Organization
Contact information
Practice address
1301 CLIFF RD E, BURNSVILLE, MN 55337-1434
(401) 227-4343
Mailing address
13327 MORGAN AVE S, BURNSVILLE, MN 55337-6605
(401) 227-4343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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