Individual
TARA ELAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
320 RING RD, ELIZABETHTOWN, KY 42701-6777
(270) 769-3377
(270) 769-6974
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1032
KY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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