Individual
MISS TARA CLEMENCIA STEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2200 1ST AVE S, MINNEAPOLIS, MN 55404-3401
(612) 767-0307
Mailing address
2200 1ST AVE S, MINNEAPOLIS, MN 55404-3401
(612) 767-0307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305989
MN
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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