Provider Demographics
NPI:1851010326
Name:TOMASSONI, ANGELA JACQUELYN (BA, LADC)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:JACQUELYN
Last Name:TOMASSONI
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Gender:F
Credentials:BA, LADC
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Mailing Address - Street 1:1420 W SAINT GERMAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4025
Mailing Address - Country:US
Mailing Address - Phone:320-313-6117
Mailing Address - Fax:320-314-1497
Practice Address - Street 1:1420 W SAINT GERMAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4025
Practice Address - Country:US
Practice Address - Phone:320-313-6117
Practice Address - Fax:320-314-1497
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)