Provider Demographics
NPI:1194021139
Name:RAUGUTT, SHARON R (LPCC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:R
Last Name:RAUGUTT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:R
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41989 MORRISON LINE RD
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:MN
Mailing Address - Zip Code:56443-5034
Mailing Address - Country:US
Mailing Address - Phone:218-214-9518
Mailing Address - Fax:218-214-9363
Practice Address - Street 1:41989 MORRISON LINE RD
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:MN
Practice Address - Zip Code:56443-5034
Practice Address - Country:US
Practice Address - Phone:218-214-9518
Practice Address - Fax:218-214-9363
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND681-2-1-11-280101YP2500X
MNCC02381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional