Individual
TAMARA RUNNICLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16150 NE 85TH ST STE 222B, REDMOND, WA 98052-3546
(255) 494-6204
Mailing address
374 SHANON SPRINGS ST, HENDERSON, NV 89014-6825
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
04/26/2023
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