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Tammie Roth, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1609572437

Tammie Roth is an Addiction (Substance Use Disorder) Counselor based in Park Rapids, MN and is specialized in Addiction (Substance Use Disorder). Tammie Roth practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Tammie Roth is 1609572437 and holds a License No. 305286 (Minnesota).

The current practice location address for Tammie Roth is 2200 E Franklin Ave Ste 200A, Minneapolis, MN and can be reached out via phone at 651-300-7795.

Location: 2200 E Franklin Ave Ste 200A, Minneapolis, MN, 56470-1154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609572437
Provider Name
Tammie Roth
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
2200 E Franklin Ave Ste 200A, Minneapolis, MN, 56470-1154
Phone Number
651-300-7795
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 E Franklin Ave Ste 200A
City
Minneapolis
State
Minnesota
Zip
55404-2395
Phone Number
651-300-7795
Fax Number
person
Provider Business Mailing Address Details
Address
2200 E Franklin Ave Ste 200A
City
Minneapolis
State
Minnesota
Zip
55404-2395
Phone Number
651-300-7795
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
305286 (Minnesota)
Definition
Definition to come...
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