Individual
BRIAN BORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 PORTLAND AVE, SAINT PAUL, MN 55104-6878
(651) 888-1276
Mailing address
1812 PORTLAND AVE, SAINT PAUL, MN 55104-6878
(651) 888-1276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303471
MN
106H00000X
Marriage & Family Therapist
Primary
3280
MN
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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