person
Tara M Bauman, LADCLGSW
Addiction (Substance Use Disorder) Counselor in Minnetonka, Minnesota
NPI 1649311150

Tara M Bauman is an Addiction (Substance Use Disorder) Counselor based in Minnetonka, MN and is specialized in Addiction (Substance Use Disorder). Tara M Bauman practices in Minnetonka, MN and has the professional credentials of LADCLGSW. The NPI Number for Tara M Bauman is 1649311150 and holds a License No. 302123 (Minnesota).

The current practice location address for Tara M Bauman is 15320 Minnetonka Blvd #200, Minnetonka, MN and can be reached out via phone at 952-932-7277 and via fax at 952-932-9827.

Location: 15320 Minnetonka Blvd #200, Minnetonka, MN, 55345
person
Provider Profile Details
NPI Number
1649311150
Provider Name
Tara M Bauman
Credential
LADCLGSW
Provider Entity Type
Individual
Gender
Female
Address
15320 Minnetonka Blvd #200, Minnetonka, MN, 55345
Phone Number
952-932-7277
Fax Number
952-932-9827
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15320 Minnetonka Blvd #200
City
State
Zip
55345
Phone Number
952-932-7277
Fax Number
952-932-9827
person
Provider Business Mailing Address Details
Address
15320 Minnetonka Blvd #200
City
State
Zip
55345
Phone Number
952-932-7277
Fax Number
952-932-9827
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302123 (Minnesota)
Definition
Definition to come...
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