Tara Richey
Counselor in San Diego, CA. Individual provider (NPI-1).
NPI number1124584271
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1124584271
- Entity type
- Individual (NPI-1)
- Name
- Tara Richey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2019
- Last updated
- Feb 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
7986 Dagget StSan Diego, CA 92111-2321
Phone 858-300-0460
Mailing address
7986 Dagget StSan Diego, CA 92111-2321
Phone 858-300-0460
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