Individual
TARA M HARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12633 N 50TH LN, GLENDALE, AZ 85304-2007
(602) 423-4759
Mailing address
12633 N 50TH LN, GLENDALE, AZ 85304-2007
(602) 423-4759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21918
AZ
Other
Enumeration date
04/06/2022
Last updated
08/04/2023
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