SearchMinnesota101YP2500X

Brent Debruyn, LPCC

NPI 1467175505 · on the registry since 2022

Practice

Address
1714 Bunker Lake Blvd Nw Ste 100
Andover, MN 55304
Phone
(763) 330-2830
Fax
(763) 330-2831
Organisation at this address
Milk Moms, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 7954 University Ave Ne, Fridley, MN

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-07

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