Brianna Therese Fourdyce
NPI #1164198867 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1164198867
- Entity Type
- Individual
- Name
- Brianna Therese Fourdyce
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 21, 2021
- Last Updated
- Aug 21, 2021
Practice Location
- Address
- 1900 SILVER LAKE RD NW STE 110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1789
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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