Individual
MICHAEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADC-T
Contact information
Practice address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
(651) 309-0399
Mailing address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
(651) 309-0399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2527
MN
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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