Individual
TAMARA JEAN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
310 US 71 N, SAUK CENTRE, MN 56378-4919
(320) 272-8989
Mailing address
17641 COUNTY ROAD 66 NE, MILTONA, MN 56354-8272
(763) 260-3347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305212
MN
Other
Enumeration date
12/03/2020
Last updated
12/07/2020
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