Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley A Gangnon, LADC, ADCR-MNCPRS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225715097

Mr. Bradley A Gangnon, LADC, ADCR-MNCPRS is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1516 W Lake St # 205
Minneapolis, MN 55408-2554
Phone: (612) 297-1804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 305379 (MN)
Rehabilitation Practitioner Taxonomy 225400000X · Licence 10053940

Record details

NPI number1225715097
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , ADCR-MNCPRS
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateApril 10, 2022

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