Individual
MEGAN E TEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
116 OAK LN, FORESTON, MN 56330-4508
(763) 370-7679
Mailing address
116 OAK LN, FORESTON, MN 56330-4508
(763) 370-7679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304559
MN
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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