Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brydon Thomas Wanner

Individual provider Marriage & Family Therapist · NPI 1275267932

Brydon Thomas Wanner is a Marriage & Family Therapist in Moorhead, Minnesota. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

1505 30th Ave S
Moorhead, MN 56560-5149
Phone: (218) 287-4338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1355 S Hill St, Los Angeles, CA 90015-3012 — (213) 389-5820

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Marriage & Family Therapist Taxonomy 106H00000X
Rehabilitation Counselor Taxonomy 225C00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275267932
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2022
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1547 30th Ave S, Moorhead, MN 56560-5149

Other providers in Moorhead