MR. Timothy Richard Brustad, L.A.D.C.
NPI #1700953353 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1700953353
- Entity Type
- Individual
- Name
- MR. Timothy Richard Brustad, L.A.D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- L.A.D.C.
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 626 CONTINENTAL DR
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-7641
- Phone
- (651) 341-0618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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