Individual
MR. BRIAN MARK RHEAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7244 JACOBS RD, LAKE SHORE, MN 56468-6871
(320) 291-7625
Mailing address
7244 JACOBS ROAD, LAKE SHORE, MN 56468
(329) 291-7625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302670
MN
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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