Individual
TARA E BEALL-GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
755 MAIN ST UNIT 3, MONROE, CT 06468
(203) 449-7908
(203) 418-2086
Mailing address
755 MAIN ST UNIT 3, MONROE, CT 06468-2830
(203) 449-7908
(203) 418-2086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
46.002046
CT
101YP2500X
Professional Counselor
2046
CT
101YS0200X
School Counselor
2046
CT
Other
Enumeration date
06/11/2013
Last updated
10/09/2019
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