person
Tamara O Stadem, LPC
Mental Health Counselor in Wasilla, Alaska
NPI 1659306116

Tamara O Stadem is a Mental Health Counselor based in Wasilla, AK and is specialized in Mental Health. Tamara O Stadem practices in Wasilla, AK and has the professional credentials of LPC. The NPI Number for Tamara O Stadem is 1659306116 and holds a License No. 50 (Alaska).

The current practice location address for Tamara O Stadem is 1700 Bogard Rd, Wasilla, AK and can be reached out via phone at 907-373-8080 and via fax at 907-373-8081.

Location: 1700 Bogard Rd, Wasilla, AK, 99654-6533
person
Provider Profile Details
NPI Number
1659306116
Provider Name
Tamara O Stadem
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1700 Bogard Rd, Wasilla, AK, 99654-6533
Phone Number
907-373-8080
Fax Number
907-373-8081
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH4828 05 AK
institution
Provider Business Practice Location Address Details
Address
1700 Bogard Rd
City
State
Zip
99654-6533
Phone Number
907-373-8080
Fax Number
907-373-8081
person
Provider Business Mailing Address Details
Address
1700 Bogard Rd
City
State
Zip
99654-6533
Phone Number
907-373-8080
Fax Number
907-373-8081
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
50 (Alaska)
Definition
Definition to come...
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