person
Mr. Timothy Richard Brustad, LADC
Addiction (Substance Use Disorder) Counselor in New Brighton, Minnesota
NPI 1700953353

Timothy Richard Brustad is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). Timothy Richard Brustad practices in New Brighton, MN and has the professional credentials of LADC. The NPI Number for Timothy Richard Brustad is 1700953353 and holds a License No. 300677 (Minnesota).

The current practice location address for Timothy Richard Brustad is 626 Continental Dr, New Brighton, MN and can be reached out via phone at 651-341-0618.

Location: 626 Continental Dr, New Brighton, MN, 55112-7641
person
Provider Profile Details
NPI Number
1700953353
Provider Name
Timothy Richard Brustad
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
626 Continental Dr, New Brighton, MN, 55112-7641
Phone Number
651-341-0618
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
626 Continental Dr
City
State
Zip
55112-7641
Phone Number
651-341-0618
Fax Number
person
Provider Business Mailing Address Details
Address
626 Continental Dr
City
State
Zip
55112-7641
Phone Number
651-341-0618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300677 (Minnesota)
Definition
Definition to come...
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