Individual
MARYLEE MARGARET TAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHS, LADC
Contact information
Practice address
366 PRIOR AVE N, SAINT PAUL, MN 55104-5165
(651) 529-8904
(651) 646-0196
Mailing address
366 PRIOR AVE N, SAINT PAUL, MN 55104-5165
(651) 529-8908
(651) 646-0196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304164
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304164
LICENSED ALCOHOL AND DRUG COUNSELOR
MN
Enumeration date
06/26/2020
Last updated
06/26/2020
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