Individual
SADIE BRIANA BROEKEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2031 ROWLAND RD, MORA, MN 55051-7119
(763) 242-1400
Mailing address
11940 LOUISIANA CIR, CHAMPLIN, MN 55316-2213
(763) 242-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302855
MN
101YM0800X
Mental Health Counselor
Primary
949
MN
Other
Enumeration date
01/27/2016
Last updated
02/27/2018
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