Individual
TARA VIRGINIA CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC, CCS
Contact information
Practice address
250 WASHINGTON ST STE A10, TOMS RIVER, NJ 08753-7575
(732) 703-7387
Mailing address
713 CHAMPLAIN ST, TOMS RIVER, NJ 08757-2533
(484) 432-8371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00333800
NJ
101YP2500X
Professional Counselor
Primary
37PC00963400
NJ
Other
Enumeration date
12/31/2019
Last updated
01/31/2025
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