Tara Shireen Bates M.A., LMFTA

NPI 1053677484 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1053677484
Gender Female
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
325 W GOWE ST
KENT WA, 98032-5892, US
Phone (253) 205-8083
Fax (253) 520-1799
Business Location
325 W GOWE ST
KENT WA, 98032-5892, US
Phone (253) 205-8083
Fax (253) 520-1799
Toxanomy
Taxonomy Code 106H00000X
License State Washington
License Number MG60258585
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According to our database, Mrs. Tara Shireen Bates M.A., LMFTA NPI is 1053677484, taxonomy code is 106H00000X and license number is MG60258585, license state is located at Washington. Tara Shireen Bates M.A., LMFTA physically located at 325 W Gowe St, Kent WA, 98032-5892. NPI Number Tara Shireen Bates M.A., LMFTA has the Individual type.

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1053677484 NPI number is provided on an as is basis without warranty of any kind. 1053677484 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Shireen Bates M.A., LMFTA are for informational purposes only.