Individual
BRYAN EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2855 ANTHONY LN S, ST ANTHONY, MN 55418-3265
(952) 201-0128
Mailing address
2855 ANTHONY LN S, ST ANTHONY, MN 55418-3265
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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