Individual
TARA O'KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. LCADC. RDT.
Contact information
Practice address
204 E HAWS CT, GALLOWAY, NJ 08205-9511
(917) 856-5434
Mailing address
204 E HAWS CT, GALLOWAY, NJ 08205-9511
(917) 856-5434
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCADC
NJ
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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