Individual
TARA DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
34975 N NORTH VALLEY PKWY BLDG 8, PHOENIX, AZ 85086-4028
(623) 853-6901
Mailing address
30914 N 138TH AVE, PEORIA, AZ 85383-8031
(623) 853-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23302
AZ
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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