Individual
MR. DOUGLAS ALAN BRINK
Active
Individual
MR. DOUGLAS ALAN BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05899
IA
106H00000X
Marriage & Family Therapist
0378
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446336
—
IA
01
—
72639
WELLMARK BLUE CROSS BLUE SHIELD
IA
Enumeration date
06/16/2005
Last updated
08/12/2013
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