| Mr Timothy Richard Brustad, LADC | |
|
626 Continental Dr, New Brighton, MN 55112-7641 | |
| (651) 341-0618 | |
| Not Available |
| Full Name | Mr Timothy Richard Brustad |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 626 Continental Dr, New Brighton, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700953353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300677 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Richard Brustad, LADC 626 Continental Dr, New Brighton, MN 55112-7641 Ph: (651) 341-0618 | Mr Timothy Richard Brustad, LADC 626 Continental Dr, New Brighton, MN 55112-7641 Ph: (651) 341-0618 |
David M. Kosfeld, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
David Hawkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Mr. Craig Schleisman, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Ms. Allyson May Rose, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 215, New Brighton, MN 55112 Phone: 651-900-0233 | |
Judy Ann Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Road, New Brighton, MN 55112 Phone: 651-628-9566 | |
Emma Fuhrman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Michael J Tschida, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311 |