Individual provider · Type 1 NPI

Tammie Leetta Fullman

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

NPI number 1184247660 Active

Practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Call (651) 746-2392 Map

Fax (651) 379-1738

Mailing address

10960 Fergus St NE Unit C
Blaine, MN 55449-5082

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184247660

Tammie Leetta Fullman's National Provider Identifier is 1184247660, issued on May 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on May 19, 2020.