Individual
COURTNEY BRUYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 28TH AVE SW, WILLMAR, MN 56201-5241
(320) 214-8558
Mailing address
201 28TH AVE SW, WILLMAR, MN 56201-5241
(320) 214-8558
(320) 235-2733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306359
—
1041C0700X
Clinical Social Worker
Primary
29331
MN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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