Tara Waldron MA, QMHP

NPI 1063780948 - Counselor - 101YM0800X

NPI Details
NPI 1063780948
Gender Female
Enumeration Date 12/07/2011
Last Updated 06/16/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
530 NW 27TH ST
CORVALLIS OR, 97330-5223, US
Phone (541) 766-6835
Fax (541) 766-6186
Business Location
530 NW 27TH ST
CORVALLIS OR, 97330-5223, US
Phone (541) 766-6835
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Tara Waldron MA, QMHP NPI is 1063780948, taxonomy code is 101YM0800X Tara Waldron MA, QMHP physically located at 530 Nw 27th St, Corvallis OR, 97330-5223. NPI Number Tara Waldron MA, QMHP has the Individual type.

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1063780948 NPI number is provided on an as is basis without warranty of any kind. 1063780948 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Waldron MA, QMHP are for informational purposes only.