Individual
MISS TARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
124 EDINBURGH CT STE 105, GREENVILLE, SC 29607-2542
(303) 817-0645
Mailing address
124 EDINBURGH CT STE 105, GREENVILLE, SC 29607-2542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
11075
SC
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
06/17/2019
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