Individual
O'HARA TOMMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 SHERIDAN ST, HOLLYWOOD, FL 33021-3241
(305) 824-7513
(954) 983-1158
Mailing address
5701 SHERIDAN ST, HOLLYWOOD, FL 33021-3241
(305) 824-7513
(954) 983-1158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L20000395239
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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