Brooks John Waldron

NPI #1588428866 in Crystal, Minnesota

Provider Information

NPI Number: 1588428866
Entity Type: Individual
Name: Brooks John Waldron
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 7, 2024
Last Updated: Feb 7, 2024

Practice Location

Address: 3500 PERRY AVE N
City: Crystal
State: Minnesota
ZIP Code: 55422-2874
Phone: (612) 607-2908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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