Individual
HEATHER LYNN TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 CHEW ST FL 3, ALLENTOWN, PA 18102-3649
(610) 969-2529
(610) 969-4332
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC017710
PA
Other
Enumeration date
10/31/2024
Last updated
02/24/2025
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