Individual
ANGELA WOOLF TIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
7133 18TH AVE S, RICHFIELD, MN 55423-3444
(561) 706-1905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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