Individual
MR. BRIAN PATRICK SAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT LADC
Contact information
Practice address
501 EAST HWY 13, SUITE 108, BURNSVILLE, MN 55337
(952) 564-3000
(952) 564-3031
Mailing address
501 EAST HWY 13, SUITE 108, BURNSVILLE, MN 55337
(952) 564-3000
(952) 564-3031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300060
MN
106H00000X
Marriage & Family Therapist
Primary
945
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023425
PREFERRED ONE/BHP
MN
01
—
151715
UCARE
—
01
—
411910086
CORPHEALTH
MN
01
—
464733000
MAGELLAN
MN
01
—
6267693
UBH
MN
05
—
876497200
—
MN
01
—
9D633SA
BCBS
MN
01
—
HP34494
HP/CIGNA
MN
Enumeration date
10/17/2006
Last updated
04/24/2008
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