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Miss Tara Jean Teachout
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1114358306

Tara Jean Teachout is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Tara Jean Teachout practices in Pasadena, CA. The NPI Number for Tara Jean Teachout is 1114358306 and holds a License No. (California).

The current practice location address for Tara Jean Teachout is 2550 E. Foothill Blvd, Pasadena, CA and can be reached out via phone at 626-463-1021 and via fax at 626-578-0948.

Location: 2550 E. Foothill Blvd, Pasadena, CA, 91107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114358306
Provider Name
Tara Jean Teachout
Credential
Provider Entity Type
Individual
Gender
Female
Address
2550 E. Foothill Blvd, Pasadena, CA, 91107
Phone Number
626-463-1021
Fax Number
626-578-0948
Provider Enumeration Date
12/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2550 E. Foothill Blvd
City
Pasadena
State
California
Zip
91107
Phone Number
626-463-1021
Fax Number
626-578-0948
person
Provider Business Mailing Address Details
Address
2550 E. Foothill Blvd
City
Pasadena
State
California
Zip
91107
Phone Number
626-463-1021
Fax Number
626-578-0948
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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