Individual
BRIAN MICHAEL TEUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112
(651) 628-9566
(651) 628-0411
Mailing address
22811 PALISADE ST NE, EAST BETHEL, MN 55005-9770
(763) 413-3121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301383
MN
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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