Individual
SHAWN KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7308 64TH AVE N, BROOKLYN PARK, MN 55428-2317
(612) 710-6510
Mailing address
7308 64TH AVE N, BROOKLYN PARK, MN 55428-2317
(612) 710-6510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306447
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306447
BBHS
MN
Enumeration date
01/30/2023
Last updated
01/30/2023
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