Individual
BRIAN THOMAS WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 789-8030
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 789-8030
(612) 789-8087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304985
MN
101YM0800X
Mental Health Counselor
3542
MN
101YP2500X
Professional Counselor
Primary
3542
MN
Other
Enumeration date
11/17/2020
Last updated
05/07/2025
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