IndividualActive
Alex Bruning
NPI 1982427191 · Mental Health Counselor · Maple Grove, MN
Provider details
- NPI number
- 1982427191
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 306455 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
12918 63rd Ave N
Maple Grove, MN 55369-6001
Phone: (763) 210-9983
Approximate (ZIP-level) locationGet directions
Mailing address
12918 63rd Ave N
Maple Grove, MN 55369-6001
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.