Individual
TARA M MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 CHANGEBRIDGE RD STE 1A, PINE BROOK, NJ 07058-9577
(201) 650-4736
Mailing address
224 MALAPARDIS RD, CEDAR KNOLLS, NJ 07927-1009
(201) 650-4736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC37PC00706000
NJ
101YP2500X
Professional Counselor
Primary
LPC37PC00706000
NJ
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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