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Tara Blackfeather
Peer Specialist in Lafayette, Colorado
NPI 1811630460

Tara Blackfeather is a Peer Specialist based in Lafayette, CO. Tara Blackfeather practices in Lafayette, CO. The NPI Number for Tara Blackfeather is 1811630460 and holds a License No. (Colorado).

The current practice location address for Tara Blackfeather is 1455 Dixon Ave, Lafayette, CO and can be reached out via phone at 303-443-8500.

Location: 1455 Dixon Ave, Lafayette, CO, 80026-8879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811630460
Provider Name
Tara Blackfeather
Credential
Provider Entity Type
Individual
Gender
Female
Address
1455 Dixon Ave, Lafayette, CO, 80026-8879
Phone Number
303-443-8500
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K754314 05 CO
institution
Provider Business Practice Location Address Details
Address
1455 Dixon Ave
City
Lafayette
State
Colorado
Zip
80026-8879
Phone Number
303-443-8500
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Dixon Ave
City
Lafayette
State
Colorado
Zip
80026-8879
Phone Number
303-443-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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