| Mr Bradley A Gangnon, LADC, ADCR-MN CPRS | |
|
1516 W Lake St # 205, Minneapolis, MN 55408-2554 | |
| (612) 297-1804 | |
| Not Available |
| Full Name | Mr Bradley A Gangnon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1516 W Lake St # 205, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225715097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305379 (Minnesota) | Primary |
| 225400000X | Rehabilitation Practitioner | 10053940 (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley A Gangnon, LADC, ADCR-MN CPRS 1516 W Lake St # 205, Minneapolis, MN 55408-2554 Ph: (612) 297-1804 | Mr Bradley A Gangnon, LADC, ADCR-MN CPRS 1516 W Lake St # 205, Minneapolis, MN 55408-2554 Ph: (612) 297-1804 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 | |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 | |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 | |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 | |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 | |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 | |
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209 |