Individual
BRYAN CLIFFORD BODROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
550 COUNTY ROAD D W STE 10, NEW BRIGHTON, MN 55112-3517
(651) 644-4022
Mailing address
550 COUNTY ROAD D W STE 10, NEW BRIGHTON, MN 55112-3517
(651) 644-4022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01044
MN
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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