Individual provider · Type 1 NPI

Angela Woolf Tiesel

Addiction (Substance Use Disorder) Counselor · Eden Prairie, MN

NPI number 1679349526 Active

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Call (952) 746-2522 Map

Mailing address

7133 18th Ave S
Richfield, MN 55423-3444

Specialties and licenses

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

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

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About NPI 1679349526

Angela Woolf Tiesel's National Provider Identifier is 1679349526, issued on Dec 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eden Prairie, MN. The record was last updated on Dec 1, 2023.