Provider Demographics
NPI:1447785910
Name:KUSCHEL, CATHERINE (LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KUSCHEL
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3774 GOODWIN AVE N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-3017
Mailing Address - Country:US
Mailing Address - Phone:308-227-0288
Mailing Address - Fax:
Practice Address - Street 1:550 MAIN ST
Practice Address - Street 2:SUITE 230
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-3271
Practice Address - Country:US
Practice Address - Phone:612-454-2262
Practice Address - Fax:763-444-6007
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303837101YA0400X
MN00835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)