Individual
MR. BRADLEY MIKE DREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330
(763) 746-9492
(763) 746-3685
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
101YP2500X
Professional Counselor
Primary
CC00436
MN
Other
Enumeration date
11/09/2010
Last updated
01/21/2019
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