Individual
MS. TAMARA HARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18602 COUCH MARKET RD, BEND, OR 97703-9148
(541) 815-0203
Mailing address
18602 COUCH MARKET RD, BEND, OR 97703-9148
(541) 815-0203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5163
OR
101YP2500X
Professional Counselor
R3925
OR
Other
Enumeration date
12/17/2015
Last updated
03/04/2019
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