Individual provider · Type 1 NPI

Susan Tynjala

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

NPI number 1285003640 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Mailing address

1900 Silver Lake Road, Suite 110, Brighton Professional Building
New Brighton, MN 55112

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 1285003640

Susan Tynjala's National Provider Identifier is 1285003640, issued on Sep 16, 2015. 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 Oct 2, 2015.