Tara Bunnenberg, M.S.W

NPI #1518360254 in Glendale, New York

Provider Information

NPI Number: 1518360254
Entity Type: Individual
Name: Tara Bunnenberg, M.S.W
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.S.W
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: 6729 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7063
Phone: (718) 779-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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