IndividualActive
Anthony Booth, MA, LADC
NPI 1669173027 · Addiction (Substance Use Disorder) Counselor · Brainerd, MN
Provider details
- NPI number
- 1669173027
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 305975 (MN)
Mailing address
411 Front St
Brainerd, MN 56401-3516
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.