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Individual
TAMMY STAR
Active
Individual
TAMMY STAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008070200
—
FL
01
—
205636867
TRICARE
FL
05
—
811814100
—
FL
01
—
Z117J
BCBSF
FL
Enumeration date
11/20/2006
Last updated
04/06/2023
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