Individual
TARA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3506 ROSSINGTON BLVD, CHESTER, VA 23831-7157
(804) 882-8573
Mailing address
3506 ROSSINGTON BLVD, CHESTER, VA 23831-7157
(804) 882-8573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3961
—
VA
Enumeration date
09/21/2022
Last updated
09/21/2022
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