Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY RICHARD BRUSTAD, L.A.D.C.
Active Sole ProprietorMR. TIMOTHY RICHARD BRUSTAD, L.A.D.C. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1700953353 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1700953353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.669808427026 yrs)
- Last Updated
- Jul 8, 2007
- License
-
300677 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
626 CONTINENTAL DRNEW BRIGHTON, MN, 551127641Browse MN providers · Browse ZIP 55112
- Phone
- 6513410618
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| DEAN LOUIS GILBERTSON | LADC | 1285856872 |
| TIMOTHY A RICE | LADC | 1487829677 |
| TAMMY JON FROST JOHNSON | LADC | 1184899270 |
| DARRNELL DEE KRELL | LADC | 1083870992 |
| MARZACK BALASCO MCALLISTER | LADC | 1225356892 |
| MR. DANIEL JOEL LIPPERT | LADC | 1508156498 |
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.