Individual
BRADLEY EUGENE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LADC
Contact information
Practice address
939 OLD HIGHWAY 8 NW STE 100, NEW BRIGHTON, MN 55112-2787
(952) 562-4116
Mailing address
939 OLD HIGHWAY 8 NW STE 100, NEW BRIGHTON, MN 55112-2787
(612) 293-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304910
MN
101YM0800X
Mental Health Counselor
Primary
2034
MN
101YM0800X
Mental Health Counselor
2455
MN
Other
Enumeration date
05/20/2019
Last updated
02/17/2023
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