Individual
TAMRA J OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFT 14379130
Contact information
Practice address
203 W SUNNY LANE, JANESVILLE, WI 53546
(608) 741-4500
(608) 741-4516
Mailing address
203 W SUNNY LANE, JANESVILLE, WI 53546
(608) 741-4500
(608) 741-4502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14379130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247900
—
WI
Enumeration date
01/30/2008
Last updated
01/30/2008
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