Individual
JEFFREY ERIC JOHN BRUNSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 447-0647
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 233-7264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01755
MN
101YP2500X
Professional Counselor
CC01755
MN
Other
Enumeration date
04/04/2018
Last updated
10/07/2024
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