Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY A GANGNON, LADC, ADCR-MN CPRS
ActiveMR. BRADLEY A GANGNON, LADC, ADCR-MN CPRS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1225715097 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1225715097
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2023 (3.1437170876161 yrs)
- Last Updated
- Jul 3, 2023
- Licenses
-
305379 (MN)10053940
Practice Information
- Address
-
1516 W LAKE ST # 205MINNEAPOLIS, MN, 554082554Browse MN providers · Browse ZIP 55408
- Phone
- 6122971804
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Occupational Therapy Assistant
Other Addiction (Substance Use Disorder) Counselor Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| JAMES HALL | LADC | 1972511434 |
| STEVEN J. NELSON | BA, CCDCR | 1154405124 |
| JOHN BROSE | LP, LMFT, ADC | 1871652263 |
| DAVID HUBERTY | LICSW, LMFT, ADC | 1407915812 |
| MS. LEEANN - SPANGLER | LADC | 1861523557 |
| MS. RUTH ANN SPIEGEL | LADC | 1902938186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.