MR. BRIAN MARK RHEAUME LADC NPI 1609212398

NPI Information

  • NPI: 1609212398
  • Provider Name: MR. BRIAN MARK RHEAUME, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 7244 JACOBS RD
    LAKE SHORE, MN
    ZIP 56468
  • Phone: (320) 291-7625

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NPI Details

MR. Brian Mark Rheaume, LADC is an addiction (substance use disorder) counselor in Lake Shore, MN. MR. Brian Mark Rheaume, LADC NPI is 1609212398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7244 JACOBS RD
LAKE SHORE, MN
ZIP 56468-871
Phone: (320) 291-7625

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)302670MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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