Individual
DR. TARRA BATES-DUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
5741 CROWNTREE LN, STE.210, ORLANDO, FL 32829-8047
(407) 485-2416
Mailing address
5741 CROWNTREE LN, STE.210, ORLANDO, FL 32829-8047
(407) 485-2416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/12/2016
Last updated
06/02/2022
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