Individual
MRS. TARA REESE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 276-1208
(865) 483-6697
Mailing address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 276-1208
(865) 483-6697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2878
TN
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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