Organization
ALCOHOL AND DRUG ASSESSMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HERMAN LADC (OWNER)
(612) 223-0797
Entity
Organization
Contact information
Practice address
7400 EDINBOROUGH WAY, #5312, EDINA, MN 55435-5615
(612) 223-0799
(612) 437-4606
Mailing address
7400 EDINBOROUGH WAY, #5312, EDINA, MN 55435-5615
(612) 223-0799
(612) 437-4606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC 302934
MN
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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