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 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740. You can also correspond with Tara Annette Brooks through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 503-224-1044).

Location: 620 Ne 2Nd 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
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
03/24/2009
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500707358 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
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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