Individual
BRADLEY CRNOBRNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
8451 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3331
(651) 255-8583
(651) 458-5632
Mailing address
8451 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3331
(651) 255-8583
(651) 458-5632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303881
MN
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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