person
Ms. Tara Annette Brooks, LPC
Professional Counselor in Gresham, Oregon
NPI 1245472182

Tara Annette Brooks is a Professional Counselor based in Portland, OR and is specialized in Professional. Tara Annette Brooks practices in Gresham, OR and has the professional credentials of LPC. The NPI Number for Tara Annette Brooks is 1245472182 and holds a License No. C4119 (Oregon).

The current practice location address for Tara Annette Brooks is 355 Nw Division St, Gresham, OR and can be reached out via phone at 503-231-2641 and via fax at 503-231-1654.

Location: 355 Nw Division St, Gresham, OR, 97205-1715
person
Provider Profile Details
NPI Number
1245472182
Provider Name
Tara Annette Brooks
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
355 Nw Division St, Gresham, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-231-1654
Provider Enumeration Date
03/24/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2075920 05 WA
500707358 05 OR
institution
Provider Business Practice Location Address Details
Address
355 Nw Division St
City
State
Zip
97030-5523
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider Business Mailing Address Details
Address
355 Nw Division St
City
State
Zip
97030-5523
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C4119 (Oregon)
Definition
Definition to come...
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