Individual
JODY TATRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
263 PINECREST TRL, WILLIAMS, AZ 86046-9483
(415) 497-4354
Mailing address
263 PINECREST TRL, WILLIAMS, AZ 86046-9483
(415) 497-4354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-21310
AZ
Other
Enumeration date
08/22/2022
Last updated
12/22/2023
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