Individual
MS. KAREN N TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
289 INDEPENDENCE BLVD, SUITE 138, VIRGINIA BEACH, VA 23462-5493
(757) 437-6150
Mailing address
1200 SMOKEY MOUNTAIN TRL, CHESAPEAKE, VA 23320-8150
(757) 548-8584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088080
OPTIMA
VA
01
—
270014
ANTHEM
VA
Enumeration date
10/25/2006
Last updated
07/08/2007
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