Individual provider · Type 1 NPI

Brydon Thomas Wanner

Specialist · Moorhead, MN

NPI number 1275267932 Active

Practice location

1505 30th Ave S
Moorhead, MN 56560-5149

Call (218) 287-4338 Map

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Other practice locations

  • 1355 S Hill St, Los Angeles, CA 90015-3012 · (213) 389-5820

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Rehabilitation Counselor 225C00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275267932

Brydon Thomas Wanner's National Provider Identifier is 1275267932, issued on Jul 10, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moorhead, MN. The record was last updated on Sep 12, 2024.