Individual
MR. GLEN BRIAN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 206-2040
(952) 206-2041
Mailing address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 206-2040
(952) 206-2041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302259
LADC
MN
Enumeration date
01/23/2008
Last updated
02/08/2022
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