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Individual
TARYN BROOKE PEMBERTON
Active
Individual
TARYN BROOKE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61390627
WA
101YM0800X
Mental Health Counselor
62686
MT
101YM0800X
Mental Health Counselor
9415
ID
Other
Enumeration date
05/10/2021
Last updated
04/23/2024
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