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Individual

NICHOLE MARIE BRUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
5125 COUNTY ROAD 101 STE 300, MINNETONKA, MN 55345-4157
(952) 932-7277
(952) 932-9827
Mailing address
5125 COUNTY ROAD 101 STE 300, MINNETONKA, MN 55345-4157
(952) 932-7277
(952) 932-9827

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306840
MN
101YP2500X
Professional Counselor
Primary
5488
MN
106S00000X
Behavior Technician

Other

Enumeration date
03/22/2021
Last updated
03/12/2026
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