Individual
MR. BRIAN MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, LADC
Contact information
Practice address
287 6TH ST E, SUITE #300, SAINT PAUL, MN 55101-1654
(651) 221-0334
Mailing address
287 6TH ST E, SUITE #300, SAINT PAUL, MN 55101-1654
(651) 221-0334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303219
MN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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