Individual
RYAN SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11010 PRAIRIE LAKES DR, SUITE 350, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
(952) 746-0887
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303630
MN
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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