Individual
MRS. TARA LYNNE CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MS, NCC
Contact information
Practice address
1350 E MCKELLIPS RD STE 2, MESA, AZ 85203-2739
(623) 462-8187
Mailing address
13916 N 135TH DR, SURPRISE, AZ 85379-8428
(623) 462-8187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21718
AZ
Other
Enumeration date
10/11/2022
Last updated
08/28/2023
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