person
Mrs. Tara Mallard George, LPC,RN
Professional Counselor in Richmond, Virginia
NPI 1215021712

Tara Mallard George is a Professional Counselor based in Richmond, VA and is specialized in Professional. Tara Mallard George practices in Richmond, VA and has the professional credentials of LPC,RN. The NPI Number for Tara Mallard George is 1215021712 and holds a License No. 0701003429 (Virginia).

The current practice location address for Tara Mallard George is 4914 Fitzhugh Ave Ste 214, Richmond, VA and can be reached out via phone at 804-377-3955 and via fax at 804-377-3956.

Location: 4914 Fitzhugh Ave Ste 214, Richmond, VA, 23230-3534
person
Provider Profile Details
NPI Number
1215021712
Provider Name
Tara Mallard George
Credential
LPC,RN
Provider Entity Type
Individual
Gender
Female
Address
4914 Fitzhugh Ave Ste 214, Richmond, VA, 23230-3534
Phone Number
804-377-3955
Fax Number
804-377-3956
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VA005415781 05 VA
institution
Provider Business Practice Location Address Details
Address
4914 Fitzhugh Ave Ste 214
City
State
Zip
23230-3534
Phone Number
804-377-3955
Fax Number
804-377-3956
person
Provider Business Mailing Address Details
Address
4914 Fitzhugh Ave Ste 214
City
State
Zip
23230-3534
Phone Number
804-377-3955
Fax Number
804-377-3956
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003429 (Virginia)
Definition
Definition to come...
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