Individual
BRENT D DEBRUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1714 BUNKER LAKE BLVD NW STE 100, ANDOVER, MN 55304-4091
(763) 330-2830
(763) 330-2831
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3669
MN
Other
Enumeration date
09/23/2022
Last updated
04/07/2025
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