Tara Nordstrom

NPI #1114645843 in Lone Tree, Colorado

Provider Information

NPI Number: 1114645843
Entity Type: Individual
Name: Tara Nordstrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 9896 ROSEMONT AVE STE 103104
City: Lone Tree
State: Colorado
ZIP Code: 80124-4104
Phone: (303) 909-9383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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