Individual provider · Type 1 NPI

Sophie Teague, MS, LADC, LPCC

Professional Counselor · Maplewood, MN

NPI number 1730817461 Active

Practice location

3100 Kennard St Ste 250
Maplewood, MN 55109-5465

Mailing address

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X306416 (MN)
Professional Counselor Primary 101YP2500X5332 (MN)

Professional Counselor: Definition to come...

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About NPI 1730817461

Sophie Teague, MS, LADC, LPCC's National Provider Identifier is 1730817461, issued on Aug 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maplewood, MN. The record was last updated on Dec 18, 2025.