Individual
MRS. TARA DURHAM-HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., M.S., C.V.E.
Contact information
Practice address
8815 CONROY WINDERMERE RD UNIT 241, ORLANDO, FL 32835-3129
(904) 718-8855
Mailing address
8815 CONROY WINDERMERE RD UNIT 241, ORLANDO, FL 32835-3129
(904) 718-8855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596383
—
FL
Enumeration date
07/24/2014
Last updated
12/20/2016
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