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Tara Martin
Mental Health Counselor in Soper, Oklahoma
NPI 1922421098

Tara Martin is a Mental Health Counselor based in Bennington, OK and is specialized in Mental Health. Tara Martin practices in Soper, OK. The NPI Number for Tara Martin is 1922421098 and holds a License No. (Oklahoma).

The current practice location address for Tara Martin is Hc 71 Box 1A, Soper, OK and can be reached out via phone at 580-317-5533.

Location: Hc 71 Box 1A, Soper, OK, 74723-0102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922421098
Provider Name
Tara Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
Hc 71 Box 1A, Soper, OK, 74723-0102
Phone Number
580-317-5533
Fax Number
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hc 71 Box 1A
City
Soper
State
Oklahoma
Zip
74759-9721
Phone Number
580-317-5533
Fax Number
person
Provider Business Mailing Address Details
Address
Hc 71 Box 1A
City
Soper
State
Oklahoma
Zip
74759-9721
Phone Number
580-317-5533
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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