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Individual

MS. TARA L. MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LADC

Contact information

Practice address
45 S MAIN ST, SUITE 309, WEST HARTFORD, CT 06107-2441
(203) 804-5628
Mailing address
45 S MAIN ST, SUITE 309, WEST HARTFORD, CT 06107-2402
(203) 804-5628

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00725
CT
101YP2500X
Professional Counselor
Primary
001367
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004039368
CT
Enumeration date
06/19/2009
Last updated
03/23/2017
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