Tara A Furgason, LCPC

NPI #1609105899 in Moline, Illinois

Provider Information

NPI Number
1609105899
Entity Type
Individual
Name
Tara A Furgason, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Dec 17, 2009
Last Updated
Dec 17, 2009

Practice Location

Address
4600 3RD ST
City
Moline
ZIP Code
61265-6106
Phone
(309) 779-3021

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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