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Mrs. Tiara Upshur
Mental Health Counselor in Fredericksburg, Virginia
NPI 1235990409

Tiara Upshur is a Mental Health Counselor based in Fredericksburg, VA and is specialized in Mental Health. Tiara Upshur practices in Fredericksburg, VA. The NPI Number for Tiara Upshur is 1235990409 and holds a License No. 0704016275 (Virginia).

The current practice location address for Tiara Upshur is 10712 Ballantraye Dr Ste 310, Fredericksburg, VA and can be reached out via phone at 540-765-2970.

Location: 10712 Ballantraye Dr Ste 310, Fredericksburg, VA, 22406-7440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235990409
Provider Name
Tiara Upshur
Credential
Provider Entity Type
Individual
Gender
Female
Address
10712 Ballantraye Dr Ste 310, Fredericksburg, VA, 22406-7440
Phone Number
540-765-2970
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10712 Ballantraye Dr Ste 310
City
Fredericksburg
State
Virginia
Zip
22407-4702
Phone Number
540-765-2970
Fax Number
person
Provider Business Mailing Address Details
Address
10712 Ballantraye Dr Ste 310
City
Fredericksburg
State
Virginia
Zip
22407-4702
Phone Number
540-765-2970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0704016275 (Virginia)
Definition
Definition to come...
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