Individual provider · Type 1 NPI

Tanya Marie Grangruth, ADC-T

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1194694844 Active

Practice location

287 6th St E Ste 300
St. Paul, MN 55101-1690

Fax (651) 221-4449

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3208 (MN)

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

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About NPI 1194694844

Tanya Marie Grangruth, ADC-T's National Provider Identifier is 1194694844, issued on Oct 31, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Oct 31, 2025.