Bradley Crnobrna, LADC | |
8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | |
(651) 255-8583 | |
(651) 458-5632 |
Full Name | Bradley Crnobrna |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 8451 E Point Douglas Rd S, Cottage Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366838781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303881 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
---|---|
Bradley Crnobrna, LADC 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 Ph: (651) 255-8583 | Bradley Crnobrna, LADC 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 Ph: (651) 255-8583 |
Melinda Dols, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6936 Pine Arbor Dr S Ste 200, Cottage Grove, MN 55016 Phone: 651-461-2903 | |
Kari A Solie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6936 Pine Arbor Dr S Ste 200, Cottage Grove, MN 55016 Phone: 651-461-2903 Fax: 651-461-2904 | |
Lisa Ocasio, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9764 77th St S, Cottage Grove, MN 55016 Phone: 651-785-3349 | |
Ann R Cook, BA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7501 80th St S Ste 108, Cottage Grove, MN 55016 Phone: 612-564-8073 Fax: 651-925-0453 | |
Lisa Ann Engelstad, LPC (MN) Counselor Medicare: Not Enrolled in Medicare Practice Location: 6936 Pine Arbor Dr S Ste 200, Cottage Grove, MN 55016 Phone: 651-461-2903 Fax: 651-461-2904 | |
Kristin Turner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8617 W Point Douglas Rd S Ste 120, Cottage Grove, MN 55016 Phone: 612-520-1262 Fax: 612-428-3201 | |
Mr. David Craig Baumrucker, MA, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 7501 80th St S Ste 210, Cottage Grove, MN 55016 Phone: 651-797-3171 Fax: 651-925-0604 |