Timothy Richard Brustad, L.A.D.C. Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI

1700953353

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

300677 (MN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-29

Last updated

2007-07-08