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Individual

TARA HESTAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD; MHP

Contact information

Practice address
1307 E ELM ST, ATHENS, AL 35611
(256) 232-3661
(256) 355-6092
Mailing address
1316 SOMERVILLE RD SE STE 1, DECATUR, AL 35601-4309
(256) 260-7361
(256) 355-6092

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/10/2016
Last updated
05/15/2019
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