Donna M Tymesen LADC BCCR

NPI 1073594016 - Counselor - 101YA0400X

NPI Details
NPI 1073594016
Gender Female
Enumeration Date 11/08/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
166 MAIN ST
WINONA MN, 55987-3405, US
Phone (507) 454-4341
Fax (507) 453-6267
Business Location
166 MAIN ST
WINONA MN, 55987-3405, US
Phone (507) 454-4341
Fax (507) 453-6267
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 300572
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According to our database, Donna M Tymesen LADC BCCR NPI is 1073594016, taxonomy code is 101YA0400X and license number is 300572, license state is located at Minnesota. Donna M Tymesen LADC BCCR physically located at 166 Main St, Winona MN, 55987-3405. NPI Number Donna M Tymesen LADC BCCR has the Individual type.

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1073594016 NPI number is provided on an as is basis without warranty of any kind. 1073594016 is maintained by the National Plan & Provider Enumeration System. The contents of Donna M Tymesen LADC BCCR are for informational purposes only.