Individual
TAMI RA BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15259-135
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15135-132
WI
101YM0800X
Mental Health Counselor
7135-123
WI
104100000X
Social Worker
7135-123
WI
1041C0700X
Clinical Social Worker
Primary
7135-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568594372
—
WI
Enumeration date
03/09/2007
Last updated
03/07/2024
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