| NPI | 1740550714 |
|---|---|
| Other Name | DEBORAH J TIESSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301476) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |