Search › Minnesota › 101YA0400X
Bradley Gangnon, LADC, ADCR-MN CPRS
NPI 1225715097 · on the registry since 2023
Practice
- Address
- 1516 W Lake St # 205
Minneapolis, MN 55408 - Phone
- (612) 297-1804
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 225400000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota