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Individual

MRS. TARA A HIGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
101 E MAIN ST STE 210, REXBURG, ID 83440-2017
(208) 235-7310
Mailing address
1427 N 3000 E, ASHTON, ID 83420-5010
(208) 680-0040

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8215
ID
101YS0200X
School Counselor
LPC-8215
ID

Other

Enumeration date
02/07/2022
Last updated
05/09/2024
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