Individual provider · Type 1 NPI
Brent D. Debruyn, LPCC
Professional Counselor · Andover, MN
NPI number
1467175505
Active
Practice location
1714 Bunker Lake Blvd NW Ste 100
Andover, MN 55304-4091
Fax (763) 330-2831
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Other practice locations
- 7954 University Ave NE, Fridley, MN 55432-1860 · (763) 780-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 3669 (MN) |
Professional Counselor: Definition to come...
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About NPI 1467175505
Brent D. Debruyn, LPCC's National Provider Identifier is 1467175505, issued on Sep 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Andover, MN. The record was last updated on Apr 7, 2025.