JEREMY SHANE VAN TASSEL

ROCHESTER, MN
NPI1265297501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  306946)
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
Mr. JEREMY SHANE VAN TASSEL LADC
1112 7TH ST NW
ROCHESTER, MN 55901-1732
Phone number: 507-289-2089
Mailing Address
Mr. JEREMY SHANE VAN TASSEL LADC
343 WOODLAKE DR SE
ROCHESTER, MN 55904-6242
Phone number: 507-289-2089
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