Individual provider · Type 1 NPI
Brian Mark Rheaume, LADC
Addiction (Substance Use Disorder) Counselor · Lake Shore, MN
NPI number
1609212398
Active
Practice location
7244 Jacobs Rd
Lake Shore, MN 56468-6871
Mailing address
7244 Jacobs Road
Lake Shore, MN 56468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302670 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1609212398
Brian Mark Rheaume, LADC's National Provider Identifier is 1609212398, issued on May 21, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Shore, MN. The record was last updated on May 21, 2013.