Tammie Leetta Fullman Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI

1184247660

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

Sex

Female

Sole proprietor

No

Enumerated

2020-05-19

Last updated

2020-05-19