Individual
MS. TARA KATCHMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
1420 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4025
(320) 313-6116
(320) 314-1497
Mailing address
1420 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306066
MN
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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