Individual
TARA M VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2778
(205) 510-2790
Mailing address
333 BUSINESS CIR, PELHAM, AL 35124-1778
(205) 510-2780
(205) 510-2790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2556
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-082541
BLUE CROSS BLUE SHIELD OF AL.
AL
Enumeration date
05/18/2010
Last updated
09/21/2010
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