Individual
TARA CORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
826 OLDFIELD RD, FAIRFIELD, CT 06824-6455
(914) 953-6627
Mailing address
826 OLDFIELD RD, FAIRFIELD, CT 06824-6455
(914) 953-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6774
CT
Other
Enumeration date
03/18/2024
Last updated
03/26/2024
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