Bryan Clifford Bodrog, LPCC Valid NPI
Individual provider · Professional Counselor · New Brighton, MN
- NPI
- 1265900120
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- CC01044 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-11-08
- Last updated
- 2018-11-08
Practice location
550 County Road D W Ste 10
New Brighton, MN 55112-3517
(651) 644-4022