Provider Demographics
NPI:1912226820
Name:SEIRUP, CHRISTIN L (LPCC)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:L
Last Name:SEIRUP
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-2038
Mailing Address - Country:US
Mailing Address - Phone:952-884-6190
Mailing Address - Fax:
Practice Address - Street 1:7401 METRO BLVD.
Practice Address - Street 2:SUITE 250
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439
Practice Address - Country:US
Practice Address - Phone:612-447-0847
Practice Address - Fax:612-268-5868
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC001351041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical