Individual
MRS. TARA E. VAN TASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND, INC, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
2 MEADER ST, LINCOLN, RI 02865-3223
(401) 331-1350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00303
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TP47687
—
RI
Enumeration date
04/25/2006
Last updated
05/22/2009
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