Individual
BRADY PIEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 HENRIETTA AVE N, PARK RAPIDS, MN 56470-2155
(218) 252-2785
Mailing address
266 HENRIETTA AVE N, PARK RAPIDS, MN 56470-2155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61604
PRIMEWEST HEALTH PLAN
MN
05
—
MNMCD
—
MN
01
—
SB720
BCBS
MN
Enumeration date
05/26/2017
Last updated
03/17/2018
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