Organization
TARA M WATKINS, MA, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MARIE WATKINS MA, LPC, LLC (OWNER)
(570) 766-9970
Entity
Organization
Contact information
Practice address
231 NORTHERN BOULEVARD, SUITE A, CLARKS SUMMIT, PA 18411-9189
(570) 766-9970
Mailing address
211 SIMPSON ST, EYNON, PA 18403-1219
(570) 766-9970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC006468
PA
Other
Enumeration date
11/18/2013
Last updated
01/02/2025
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