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Individual
TARA J HULSEY
Active
Individual
TARA J HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000876A
IN
1041C0700X
Clinical Social Worker
Primary
34002620A
IN
106H00000X
Marriage & Family Therapist
35000101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000806545
ANTHEM BCBS
IN
01
—
000000997086
ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
IN
Enumeration date
03/26/2007
Last updated
08/18/2016
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