Individual
MR. BRIAN LEE DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1828 JEFFERSON ST NE STE C, MINNEAPOLIS, MN 55418-4427
(612) 362-8931
Mailing address
1828 JEFFERSON ST NE STE C, MINNEAPOLIS, MN 55418-4427
(612) 362-8931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302794
MN
Other
Enumeration date
04/01/2015
Last updated
09/29/2023
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