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Organization
TARA YARDLEY LPC LLC
Active
Organization
TARA YARDLEY LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA BETH YARDLEY LPC (OWNER)
(816) 679-1524
Entity
Organization
Contact information
Practice address
1133 W MAIN ST, SUITE 101, BLUE SPRINGS, MO 64015-3694
(816) 679-1524
Mailing address
10402 E SHELEY RD, INDEPENDENCE, MO 64052-2649
(816) 679-1524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010021552
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153990
—
MO
Enumeration date
12/31/2012
Last updated
03/22/2013
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