Tara Michelle Tivnan LMHC

NPI 1295860344 - Counselor - 101YM0800X

NPI Details
NPI 1295860344
Gender Female
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
111 ELM ST
SUITE 102
WORCESTER MA, 01609-1967, US
Phone (508) 756-3750
Fax (508) 756-2729
Business Location
111 ELM ST
SUITE 102
WORCESTER MA, 01609-1967, US
Phone (508) 756-3750
Fax (508) 756-2729
Toxanomy
Taxonomy Code 101YM0800X
License State Massachusetts
License Number 4803
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According to our database, Ms. Tara Michelle Tivnan LMHC NPI is 1295860344, taxonomy code is 101YM0800X and license number is 4803, license state is located at Massachusetts. Tara Michelle Tivnan LMHC physically located at 111 Elm St, Worcester MA, 01609-1967. NPI Number Tara Michelle Tivnan LMHC has the Individual type.

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1295860344 NPI number is provided on an as is basis without warranty of any kind. 1295860344 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Michelle Tivnan LMHC are for informational purposes only.