Individual
KEVIN E BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
Mailing address
1171 BROOKS AVE W, ROSEVILLE, MN 55113-3202
(612) 804-8602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303830
MN
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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