Individual
TARA MIDGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4355 S DURANGO DR APT 187, LAS VEGAS, NV 89147-8634
(760) 486-8946
Mailing address
4355 S DURANGO DR APT 187, LAS VEGAS, NV 89147-8634
(760) 486-8946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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