Individual
TARA ETTLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 734-2664
(360) 671-8006
Mailing address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 734-2664
(360) 671-8006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH60031137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7406051
—
WA
Enumeration date
02/28/2007
Last updated
06/04/2012
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