Individual provider · Type 1 NPI
Timothy Richard Brustad, L.A.D.C.
Addiction (Substance Use Disorder) Counselor · New Brighton, MN
NPI number
1700953353
Active
Practice location
626 Continental Dr
New Brighton, MN 55112-7641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300677 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700953353
Timothy Richard Brustad, L.A.D.C.'s National Provider Identifier is 1700953353, issued on Nov 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Jul 8, 2007.