Individual
TARA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC, ACS
Contact information
Practice address
666 GODWIN AVE STE 100, MIDLAND PARK, NJ 07432-1463
(201) 444-8110
Mailing address
666 GODWIN AVE STE 200, MIDLAND PARK, NJ 07432-1463
(201) 444-8110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00342000
NJ
101YP2500X
Professional Counselor
Primary
37PC00684600
NJ
Other
Enumeration date
11/21/2016
Last updated
05/11/2023
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