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Individual

BRANDYCE R EDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
675 E NICOLLET BLVD STE 250, BURNSVILLE, MN 55337-6768
(952) 993-3307
Mailing address
675 E NICOLLET BLVD STE 250, BURNSVILLE, MN 55337-6768
(952) 993-3307

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304433
101YP2500X
Professional Counselor
Primary
CC02005
MN

Other

Enumeration date
11/07/2019
Last updated
12/11/2019
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