person
Mr. Jeremy Shane Van Tassel, LADC
Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota
NPI 1265297501

Jeremy Shane Van Tassel is an Addiction (Substance Use Disorder) Counselor based in Rochester, MN and is specialized in Addiction (Substance Use Disorder). Jeremy Shane Van Tassel practices in Rochester, MN and has the professional credentials of LADC. The NPI Number for Jeremy Shane Van Tassel is 1265297501 and holds a License No. 306946 (Minnesota).

The current practice location address for Jeremy Shane Van Tassel is 1112 7Th St Nw, Rochester, MN and can be reached out via phone at 507-289-2089.

Location: 1112 7Th St Nw, Rochester, MN, 55904-6242
person
Provider Profile Details
NPI Number
1265297501
Provider Name
Jeremy Shane Van Tassel
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1112 7Th St Nw, Rochester, MN, 55904-6242
Phone Number
507-289-2089
Fax Number
Provider Enumeration Date
02/15/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1112 7Th St Nw
City
State
Zip
55901-1732
Phone Number
507-289-2089
Fax Number
person
Provider Business Mailing Address Details
Address
1112 7Th St Nw
City
State
Zip
55901-1732
Phone Number
507-289-2089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
306946 (Minnesota)
Definition
Definition to come...
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