Individual provider · Type 1 NPI

Tara M. Bauman, LADC LGSW

Addiction (Substance Use Disorder) Counselor · Minnetonka, MN

NPI number 1649311150 Active

Practice location

15320 Minnetonka Blvd #200
Minnetonka, MN 55345

Fax (952) 932-9827

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302123 (MN)

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

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About NPI 1649311150

Tara M. Bauman, LADC LGSW's National Provider Identifier is 1649311150, issued on Feb 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 8, 2007.