Healthcare Provider Details

I. General information

NPI: 1265856660
Provider Name (Legal Business Name): CHELSIE SJOGREN LPCC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSIE MCSHANE

II. Dates (important events)

Enumeration Date: 02/06/2014
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 CLEVELAND AVE S
SAINT PAUL MN
55116-1319
US

IV. Provider business mailing address

400 SELBY AVE STE D
SAINT PAUL MN
55102-4520
US

V. Phone/Fax

Practice location:
  • Phone: 651-493-8412
  • Fax:
Mailing address:
  • Phone: 612-385-5229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number303919
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2904
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: