Individual
MS. TARA LEA BOHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
106 WRIGHT HILL DR, DURHAM, NC 27712-9093
(984) 244-0741
Mailing address
PO BOX 71533, DURHAM, NC 27722-1533
(984) 244-0741
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13325
BLUE CROSS BLUE SHIELD
NC
Enumeration date
02/28/2007
Last updated
04/07/2022
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