Individual
BRENNA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 E LAKE ST, MINNEAPOLIS, MN 55407-4385
(612) 596-9438
Mailing address
2215 E LAKE ST, MINNEAPOLIS, MN 55407-4385
(612) 596-9438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306547
MN
1041C0700X
Clinical Social Worker
Primary
27429
MN
Other
Enumeration date
11/10/2022
Last updated
12/19/2022
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