location
search-icon
person
Mr. Bradley A Gangnon, LADC,ADCR-MNCPRS
Rehabilitation Practitioner in Minneapolis, Minnesota
NPI 1225715097

Bradley A Gangnon is a Rehabilitation Practitioner based in Minneapolis, MN. Bradley A Gangnon practices in Minneapolis, MN and has the professional credentials of LADC,ADCR-MNCPRS. The NPI Number for Bradley A Gangnon is 1225715097 and holds a License No. 305379 (Minnesota).

The current practice location address for Bradley A Gangnon is 1516 W Lake St # 205, Minneapolis, MN and can be reached out via phone at 612-297-1804.

Location: 1516 W Lake St # 205, Minneapolis, MN, 55408-2554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225715097
Provider Name
Bradley A Gangnon
Credential
LADC,ADCR-MNCPRS
Provider Entity Type
Individual
Gender
Male
Address
1516 W Lake St # 205, Minneapolis, MN, 55408-2554
Phone Number
612-297-1804
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1516 W Lake St # 205
City
Minneapolis
State
Minnesota
Zip
55408-2554
Phone Number
612-297-1804
Fax Number
person
Provider Business Mailing Address Details
Address
1516 W Lake St # 205
City
Minneapolis
State
Minnesota
Zip
55408-2554
Phone Number
612-297-1804
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.
10053940 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
305379 (Minnesota)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.