Individual provider · Type 1 NPI
Tamra Rae Devault
Addiction (Substance Use Disorder) Counselor · Cass Lake, MN
NPI number
1659591287
Active
Practice location
409 3rd St NE Suite B
Cass Lake, MN 56633
Fax (218) 335-2482
Mailing address
190 Sailstar Dr NE
Cass Lake, MN 56633-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 307444 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659591287
Tamra Rae Devault's National Provider Identifier is 1659591287, issued on Apr 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cass Lake, MN. The record was last updated on Feb 27, 2026.