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Tara Rose Fennel, CAAR
Mental Health Counselor in Longview, Washington
NPI 1629555180

Tara Rose Fennel is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Tara Rose Fennel practices in Longview, WA and has the professional credentials of CAAR. The NPI Number for Tara Rose Fennel is 1629555180 and holds a License No. CG60878074 (Washington).

The current practice location address for Tara Rose Fennel is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.

Location: 748 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629555180
Provider Name
Tara Rose Fennel
Credential
CAAR
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
07/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60878074 (Washington)
Definition
Definition to come...
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