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Brian James Rose
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1144831959

Brian James Rose is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Brian James Rose practices in Minneapolis, MN. The NPI Number for Brian James Rose is 1144831959 and holds a License No. 305283 (Minnesota).

The current practice location address for Brian James Rose is 5061 Lyndale Ave S, Minneapolis, MN and can be reached out via phone at 952-240-9158.

Location: 5061 Lyndale Ave S, Minneapolis, MN, 55419-1215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144831959
Provider Name
Brian James Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
5061 Lyndale Ave S, Minneapolis, MN, 55419-1215
Phone Number
952-240-9158
Fax Number
Provider Enumeration Date
08/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5061 Lyndale Ave S
City
Minneapolis
State
Minnesota
Zip
55419-1215
Phone Number
952-240-9158
Fax Number
person
Provider Business Mailing Address Details
Address
5061 Lyndale Ave S
City
Minneapolis
State
Minnesota
Zip
55419-1215
Phone Number
952-240-9158
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
305283 (Minnesota)
Definition
Definition to come...
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