Tamara Ice
NPI #1356487771 in Sebastopol, California
Provider Information
- NPI Number
- 1356487771
- Entity Type
- Individual
- Name
- Tamara Ice
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Mar 30, 2012
Practice Location
- Address
- 820 GRAVENSTEIN AVE STE 200
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4557
- Phone
- (707) 522-0473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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