Individual
ERIN ELIZABETH TIEDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADC, LAC
Contact information
Practice address
S935B CHRISTMAS MOUNTAIN RD, WISCONSIN DELLS, WI 53965-9608
(605) 759-3955
Mailing address
S935B CHRISTMAS MOUNTAIN RD, WISCONSIN DELLS, WI 53965-9608
(605) 759-3955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302604
MN
101YP2500X
Professional Counselor
Primary
LPCC371
MN
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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