Individual
NICOLE MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW, LADC
Contact information
Practice address
213 LABREE AVE N STE 100, THIEF RIVER FALLS, MN 56701-2022
(218) 683-5141
Mailing address
213 LABREE AVE N STE 100, THIEF RIVER FALLS, MN 56701-2022
(218) 683-5141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305917
MN
104100000X
Social Worker
Primary
29623
MN
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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