Individual
SUSAN TYNJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Mailing address
1900 SILVER LAKE ROAD, SUITE 110, BRIGHTON PROFESSIONAL BUILDING, NEW BRIGHTON, MN 55112
(651) 379-1718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
10/02/2015
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