Tara Palacios

NPI #1063940112 in Culver City, California

Provider Information

NPI Number: 1063940112
Entity Type: Individual
Name: Tara Palacios
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 1, 2017
Last Updated: Jun 1, 2017

Practice Location

Address: 4760 SEPULVEDA BLVD
City: Culver City
State: California
ZIP Code: 90230-4820
Phone: (310) 855-0031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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