| Doctor Name: | SUZANNE THERESA BRANNAN |
| NPI Number: | 1053715086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S., L.A.D.C. |
| License Number: | 303996 |
| Business Practice Address: | 797 East 7th St. Clues Chemical Health St. Paul, MN - 55106 |
| Business Phone Number: | 6513794287 |
| Business Fax Number: | 6513794297 |
| Mailing Address: | 2547 2nd Ave E, NORTH ST PAUL |
| State: | MN |
| Postal Code: | 551093222 |
| Phone Number: | 7634640229 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 303996 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |