Individual
MRS. TARA ASHLEY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3652 N. RANCHO DRIVE, #102, N. LAS VEGAS, NV 89130-3180
(702) 334-6162
Mailing address
9373 WILD LARIAT AVE, LAS VEGAS, NV 89178-5522
(702) 340-1322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI0475
NV
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/22/2012
Last updated
11/21/2016
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