Individual provider · Type 1 NPI

Matthew Champ

Professional Counselor · St. Paul, MN

NPI number 1861341430 Active

Practice location

771 Raymond Ave
St. Paul, MN 55114-1522

Call (651) 243-2292 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X05358 (MN)

Professional Counselor: Definition to come...

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About NPI 1861341430

Matthew Champ's National Provider Identifier is 1861341430, issued on Jan 26, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Jan 26, 2026.