Individual
TAMMY MARIE GRADINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1902 VALLEY PINE CIR STE 305, INTERNATIONAL FALLS, MN 56649-2179
(218) 283-3406
Mailing address
900 5TH ST, SUITE 305, INTERNATIONAL FALLS, MN 56649-2254
(218) 283-3406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01612
MN
101YM0800X
Mental Health Counselor
18284
MN
Other
Enumeration date
11/18/2014
Last updated
03/11/2025
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