Individual
MRS. TARA B BREMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 439-0033
(518) 439-7167
Mailing address
196 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 439-0033
(518) 439-7167
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
XXX
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXX
PASTORAL COUNSELOR
NY
Enumeration date
09/09/2005
Last updated
07/08/2007
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