Individual
CARLA TADEWALDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
799 LONG ST, SWEET HOME, OR 97386-3304
(541) 367-3888
(541) 367-2407
Mailing address
30543 SANTIAM RIVER RD, LEBANON, OR 97355-9753
(760) 668-5029
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC37641
CA
Other
Enumeration date
05/22/2007
Last updated
04/29/2013
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