MS. Tara Lee North, MFT INTERN

NPI #1356049084 in Payette, Idaho

Provider Information

NPI Number
1356049084
Entity Type
Individual
Name
MS. Tara Lee North, MFT INTERN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT INTERN
Enumeration Date
Feb 22, 2023
Last Updated
Feb 22, 2023

Practice Location

Address
250 S MAIN ST
State
Idaho
ZIP Code
83661-2853
Phone
(084) 050-0202

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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