Individual
TANYA MARIE GRANGRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC-T
Contact information
Practice address
287 6TH ST E STE 300, SAINT PAUL, MN 55101-1690
(651) 221-0334
(651) 221-4449
Mailing address
287 6TH ST E STE 300, SAINT PAUL, MN 55101-1690
(651) 221-0334
(651) 221-4449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3208
MN
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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